Toxic shock syndrome

Key Information

Appropriate Tests

 

Full blood count, White cell count differential, Blood film. Electrolytes, Creatinine, Urea, Bilirubin, Alkaline phosphatase, Gamma glutamyltransferase, Lactate dehydrogenase, Aspartate aminotransferase, Alanine aminotransferase.

TSST gene testing is available on selected staph aureus isolates.

Cause

 

Staphylococcus aureus

Genital swab (vaginal) or Wound swab as appropriate - microscopy and culture; Blood culture.

Streptococcus pyogenes

Wound swab or swab of lesion or vesicle aspirate; Blood culture.

Manifestations

 

Diarrhoea

Hepatic failure

Renal failure - acute

Respiratory distress syndrome

Confusion