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Bacterial croup and toxic shock syndrome
Authors:M Chenaud  F Leclerc and A Martinot
Institution:(1) Intensive Care Unit, Department of Paediatrics, Calmette Hospital, F-59037 Lille, France
Abstract:An 8-year-old boy with bacterial tracheitis, treated by endotracheal intubation, humidification, airway toilet and antibiotics, experienced a toxic shock syndrome on the day after his admission. The course was favourable. Staphylococcus aureus was isolated from tracheal secretions. Bacterial tracheitis is an infrequent cause of non-menstrual toxic shock syndrome. The diagnosis of bacterial tracheitis should be suspected in a child with toxicity and croup who is not responding to the usual therapy. Endoscopy should be performed allowing for removal of the secretions. The maintenance of a clear airway is the main purpose of the treatment.Abbreviations TSS toxic shock syndrome - CNS central nervous system - CRP C-reactive protein - ICU intensive care unit
Keywords:Toxic-shock syndrome  Laryngitis  Staphylococcus aureus  Airway obstruction
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