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Bacterial croup and toxic shock syndrome

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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.

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Abbreviations

TSS:

toxic shock syndrome

CNS:

central nervous system

CRP:

C-reactive protein

ICU:

intensive care unit

References

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Chenaud, M., Leclerc, F. & Martinot, A. Bacterial croup and toxic shock syndrome. Eur J Pediatr 145, 306–307 (1986). https://doi.org/10.1007/BF00439406

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  • DOI: https://doi.org/10.1007/BF00439406

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