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Toxic shock syndrome in transsphenoidal neurosurgery

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Summary

An overlooked toxic shock syndrome (TSS) may leed to a fatal outcome. In neurosurgery a transsphenoidal approach with post-operative nasal tamponade may promote toxic shock syndrome without signs of local wound infection. By discussing the case history of a patient after hypophysectomy by the transsphenoidal route, we propose that after the appearance of the first signs of toxic shock syndrome, quick removal of the nasal tamponade is a life saving procedure.

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Authors and Affiliations

  1. Department of Neurosurgery, Neurosurgery Intensive Care Unit, University Clinic Innsbruck, Austria

    I. Mohsenipour & K. Twerdy

  2. Department of Anaesthesiology and General Intensive Care, University Clinic Innsbruck, Austria

    E. Deusch

  3. Institute of Hygiene, University Clinic Innsbruck, Austria

    E. Semenitz

Authors
  1. I. Mohsenipour
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  2. E. Deusch
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  3. K. Twerdy
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  4. E. Semenitz
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Mohsenipour, I., Deusch, E., Twerdy, K. et al. Toxic shock syndrome in transsphenoidal neurosurgery. Acta neurochir 128, 169–170 (1994). https://doi.org/10.1007/BF01400669

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  • DOI: https://doi.org/10.1007/BF01400669

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