Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan

Community-acquired methicillin-resistant Staphylococcus aureus has been spreading worldwide, including in Japan. However, few cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus have been reported in Japan. We report 2 cases, in middle-aged women, o...

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Main Authors: Ryuichi Sada, Saori Fukuda, Hiroyasu Ishimaru
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:IDCases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221425091630110X
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author Ryuichi Sada
Saori Fukuda
Hiroyasu Ishimaru
author_facet Ryuichi Sada
Saori Fukuda
Hiroyasu Ishimaru
author_sort Ryuichi Sada
collection DOAJ
description Community-acquired methicillin-resistant Staphylococcus aureus has been spreading worldwide, including in Japan. However, few cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus have been reported in Japan. We report 2 cases, in middle-aged women, of toxic shock syndrome due to Community-acquired methicillin-resistant Staphylococcus aureus via a vaginal portal of entry. The first patient had used a tampon and the second patient had vaginitis due to a cleft narrowing associated with vulvar lichen sclerosus. Both patients were admitted to our hospital with septic shock and severe acute kidney injury and subsequently recovered with appropriate antibiotic treatment. In our review of the literature, 8 cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus were reported in Japan. In these 8 cases, the main portals of entry were the skin and respiratory tract; however, the portal of entry of Community-acquired methicillin-resistant Staphylococcus aureus from a vaginal lesion has not been reported in Japan previously.
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spelling doaj.art-e43f6fdb3bda440db5e84a9ea2c6ba0b2022-12-21T18:22:59ZengElsevierIDCases2214-25092017-01-018C778010.1016/j.idcr.2017.04.012Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in JapanRyuichi Sada0Saori Fukuda1Hiroyasu Ishimaru2Department of General Internal Medicine, Kameda Medical Center, 929 Higashi-cho, Kamogawa, Chiba, 296-8602, JapanDepartment of Clinical Pathology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, JapanDepartment of General Internal Medicine, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, JapanCommunity-acquired methicillin-resistant Staphylococcus aureus has been spreading worldwide, including in Japan. However, few cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus have been reported in Japan. We report 2 cases, in middle-aged women, of toxic shock syndrome due to Community-acquired methicillin-resistant Staphylococcus aureus via a vaginal portal of entry. The first patient had used a tampon and the second patient had vaginitis due to a cleft narrowing associated with vulvar lichen sclerosus. Both patients were admitted to our hospital with septic shock and severe acute kidney injury and subsequently recovered with appropriate antibiotic treatment. In our review of the literature, 8 cases of toxic shock syndrome caused by Community-acquired methicillin-resistant Staphylococcus aureus were reported in Japan. In these 8 cases, the main portals of entry were the skin and respiratory tract; however, the portal of entry of Community-acquired methicillin-resistant Staphylococcus aureus from a vaginal lesion has not been reported in Japan previously.http://www.sciencedirect.com/science/article/pii/S221425091630110XCommunity-acquired methicillin-resistant Staphylococcus aureusToxic shock syndromeMenstruationVulvar lichen sclerosus
spellingShingle Ryuichi Sada
Saori Fukuda
Hiroyasu Ishimaru
Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
IDCases
Community-acquired methicillin-resistant Staphylococcus aureus
Toxic shock syndrome
Menstruation
Vulvar lichen sclerosus
title Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
title_full Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
title_fullStr Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
title_full_unstemmed Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
title_short Toxic shock syndrome due to community-acquired methicillin-resistant Staphylococcus aureus infection: Two case reports and a literature review in Japan
title_sort toxic shock syndrome due to community acquired methicillin resistant staphylococcus aureus infection two case reports and a literature review in japan
topic Community-acquired methicillin-resistant Staphylococcus aureus
Toxic shock syndrome
Menstruation
Vulvar lichen sclerosus
url http://www.sciencedirect.com/science/article/pii/S221425091630110X
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