A case of toxic shock syndrome from an abrasion caused by a motorcycle accident

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  • KAWAHARA Natsumi
    Department of Inspection and Technology, Department of Medical Technology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers
  • IRIMURA Kenji
    Department of Inspection and Technology, Department of Medical Technology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers
  • UCHIMURA Chikako
    Department of Inspection and Technology, Department of Medical Technology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers
  • OGATA Masamichi
    Department of Inspection and Technology, Department of Medical Technology, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers

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  • バイク転倒事故の擦過傷からToxic Shock Syndromeに至った症例

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<p>The patient was a 20-year-old man who developed toxic shock syndrome (TSS) from a right knee abrasion caused by a motorcycle accident. The main symptoms were fever, vomiting, and diarrhea. TSS was suspected from the laboratory examination results, gastrointestinal symptoms, conjunctival hyperemia, and skin flushing. Staphylococcus aureus was isolated by culture of skin samples from the right knee abrasion. Staphylococcal enterotoxin A (SEA) and toxic shock syndrome toxin-1 (TSST-1), one of the superantigens, were positive. Blood culture tests were negative in two sets of samples (four bottles). In addition to an inappropriate right knee abrasion treatment, the presence of S. aureus producing the TSST-1- gene on the skin of the patient’s right knee is also considered to be the cause of the onset of TSS.</p>

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