Pustules on the back possibly triggering toxic-shock syndrome
Por um escritor misterioso
Last updated 06 julho 2024
![Pustules on the back possibly triggering toxic-shock syndrome](https://casereports.bmj.com/content/bmjcr/12/6/e229610/F2.large.jpg)
We herein describe an irregular case of toxic-shock syndrome (TSS). A previously healthy 28-year-old Japanese man developed a sudden-onset high fever. The patient was suffering from conjunctival hyperaemia, gastrointestinal symptoms such as vomiting and diarrhoea, and systemically diffused macular erythroderma. Further physical examination detected pustules on his back, which self-destructed over time. Laboratory revealed multiple organ failures. Subsequently, scalded skin on the face and desquamation in the limb extremities emerged by day 10, leading to the diagnosis of TSS, despite his stable circulatory dynamics through the course. Learning points for clinicians include that they should recall TSS as a possible disease concurrently causing high fever, systemic rash and multiple organ dysfunctions, even without being in a state of shock. The characteristic desquamations emerged in the limb extremities after hospitalisation were of help in diagnosing TSS.
![Pustules on the back possibly triggering toxic-shock syndrome](https://i0.wp.com/cdn-prod.medicalnewstoday.com/content/images/articles/176/176242/scarlet-fever-image-credit-estreya-2007.jpg?w=1155&h=1545)
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![Pustules on the back possibly triggering toxic-shock syndrome](https://www.researchgate.net/publication/343066791/figure/fig1/AS:934025845825536@1599700523877/a-Day-1-diffuse-maculopapular-rash-with-evidence-of-vesicles-and-urticarial-lesions-on.jpg)
a) Day 1 -diffuse maculopapular rash with evidence of vesicles and
![Pustules on the back possibly triggering toxic-shock syndrome](https://i0.wp.com/www.emdocs.net/wp-content/uploads/2016/07/HFM-findings-559x372-1.png?fit=559%2C372)
– Emergency Medicine EducationWhat's that Rash? An approach to dangerous rashes based on morphology - - Emergency Medicine Education
![Pustules on the back possibly triggering toxic-shock syndrome](https://www.cmaj.ca/content/cmaj/181/6-7/393/F3.large.jpg)
Acute generalized exanthematous pustulosis with severe organ dysfunction
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![Pustules on the back possibly triggering toxic-shock syndrome](https://i0.wp.com/obgynkey.com/wp-content/uploads/2018/12/m_p9780071767019-ch185_f001.png?w=960)
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![Pustules on the back possibly triggering toxic-shock syndrome](https://i0.wp.com/2.bp.blogspot.com/-03MoFE70Omo/VKoAOaHGDiI/AAAAAAAAAww/zNpKCcNwgIY/s1600/STRAWBERRY%2BTONGUE%2BIMAGE.jpg)
Early suspicion of toxic shock syndrome
![Pustules on the back possibly triggering toxic-shock syndrome](https://www.mayoclinic.org/-/media/kcms/gbs/patient-consumer/images/2020/08/28/14/04/ten-8col-qreads.jpg)
TEN - Symptoms and causes - Mayo Clinic
![Pustules on the back possibly triggering toxic-shock syndrome](http://www.washingtonpost.com/news/speaking-of-science/wp-content/uploads/sites/36/2016/03/0321_TSS_SS.jpg)
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