PEDIATRICS Vol. 73 No. 2 February 1984, pp. 163-165
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Toxic-Shock Syndrome Associated with Nasal Packing: Analogy to Tampon-Associated Illness

Stephen D. Barbour MD, PhD1, David M. Shlaes MD, PhD1, and Stephen R. Guertin MD1

1 From the Cleveland Clinic, Case Western Reserve University School of Medicine, Cleveland, and Edward W. Sparrow Hospital, Lansing, Michigan

A pure culture of migmatoxin-producing Staphylococcus aureus was isolated from the purulent nasal packing removed from a 13-year-old premenarchal girl with toxic-shock syndrome after rhinoplasty. The similarities between this case and the tampon-associated illness are examined. An increased awareness of these similarities and the identification of predisposing factors may lead to earlier detection and treatment of toxic-shock syndrome.

Key Words: toxic-shock • syndrome • migmatoxinemia

Submitted on November 22, 1982
Accepted on March 8, 1983




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