scholarly journals A Confirmed Case of Toxic Shock Syndrome Associated with the Use of a Menstrual Cup

2015 ◽  
Vol 26 (4) ◽  
pp. 218-220 ◽  
Author(s):  
Michael A Mitchell ◽  
Steve Bisch ◽  
Shannon Arntfield ◽  
Seyed M Hosseini-Moghaddam

Menstrual cups have been reported to be an acceptable substitute for tampons. These flexible cups have also been reported to provide a sustainable solution to menstrual management, with modest cost savings and no significant health risk.The present article documents the first case of toxic shock syndrome associated with the use of a menstrual cup in a woman 37 years of age, using a menstrual cup for the first time. Toxic shock syndrome and the literature on menstrual cups is reviewed and a possible mechanism for the development of toxic shock syndrome in the patient is described.

Author(s):  
Megan Culler Freeman ◽  
Stephanie Mitchell ◽  
John Ibrahim ◽  
John V Williams

Abstract Neonatal toxic shock syndrome (TSS)-like exanthematous disease (NTED) is a syndrome first reported in Japan. Neonates develop systemic exanthema, thrombocytopenia, and fever usually during the first week of life. The disease is distinguished from frank TSS because affected infants are not severely ill and do not meet TSS criteria. Most infants are confirmed to be colonized with TSST-1 producing strains of S. aureus. Suggested diagnostic criteria for NTED include a skin rash with generalized macular erythema and one of the following symptoms: fever >38.0°C, thrombocytopenia <150 x103uL, or low positive C-reactive protein (1-5 mg/dL) in the absence of another known disease process. NTED is common in Japanese NICUs, but outside Japan, only one case has been reported in France. We describe the first case of NTED reported in North America.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Jean-François Roussy ◽  
Catherine Allard ◽  
Guy St-Germain ◽  
Jacques Pépin

Mucormycosis is an uncommon opportunistic infection and the gastrointestinal form is the rarest.Rhizopus sp. is the most frequent pathogen and infection occurs almost exclusively in immunocompromised patients. We describe the first case of intestinal mucormycosis occurring after aStreptococcus pyogenestoxic shock syndrome in a previously healthy patient caused byRhizopus microsporusvar.azygosporus.


2017 ◽  
Vol 7 (3) ◽  
pp. 154-160
Author(s):  
Momoko Kan ◽  
Yasukiyo Mori ◽  
Nao Kishimoto ◽  
Hiroki Shibutani ◽  
Yuno Tomita ◽  
...  

The risk of infective endocarditis in chronic hemodialysis patients is markedly higher than that in the general population. We report the first case of a hemodialysis patient with infective endocarditis caused by Streptococcus dysgalactiae subsp. equisimilis (SDSE) who presented with streptococcal toxic shock syndrome. In the last decade, there has been an increase in the incidence of SDSE infections. Therefore, it is important to recognize SDSE as a possible causative agent of infective endocarditis in an immunocompromised population, such as hemodialysis patients.


1994 ◽  
Vol 2 (3) ◽  
pp. 140-145 ◽  
Author(s):  
Philip M. Tierno ◽  
Bruce A. Hanna

Objective: Although the incidence of reported cases of toxic shock syndrome (TSS) has declined in recent years, the disease continues to occur in menstruating women using the newer, less-absorbent tampons or barrier contraceptives. Extant tampons and other vaginal devices were tested for the ability to induce TSS toxin-1 (TSST-1) by a TSS strain of Staphylococcus aureus MN8, a known high-toxin producer. Tested for the first time were 20 varieties of tampons, including 2 all-cotton brands newly introduced in the United States, a polyurethane contraceptive sponge, a latex diaphragm, and a polymer menstrual collection cup.Methods: All products were washed in sterile distilled water prior to use to reduce the effect of leachable chemicals. Duplicate experiments with unwashed products were also performed. Entire tampons and other test products were immersed in brain heart infusion broth plus yeast extract (BHIY) and inoculated with S. aureus MN8, a known TSST-1 producer. After incubation, the culture supernatants were assayed for TSST-1 by gel immunodiffusion.Results: Except for all-cotton tampons, greater amounts of TSST-1 were detected in the supernatant fluid of washed tampons than detected in those which were not washed. While TSST-1 levels in unwashed non-cotton tampons ranged from 0.5 to 8 μg/ml, when these products were washed, TSST-1 levels increased to 2–32 μg/ml. In all-cotton tampons, whether washed or not, there was no detectable TSST-1.Conclusions: The propensity for all-cotton tampons not to amplify TSST-1 in vitro suggests they would lower the risk for tampon-associated TSS.


2008 ◽  
Vol 40 (8) ◽  
pp. 675-676 ◽  
Author(s):  
Xavier Lemaire ◽  
Laurence Legout ◽  
Claire François ◽  
Gerard Lina ◽  
Eric Beltrand ◽  
...  

Author(s):  
Rama Chaudhry ◽  
Tej Bahadur ◽  
Tanu Sagar ◽  
Sonu Kumari Agrawal ◽  
Nazneen Arif ◽  
...  

Abstract Clostridium sordellii is a gram-positive anaerobic bacteria most commonly isolated from skin and soft tissue infection, penetrating injurious and intravenous drug abusers. The exotoxins produced by the bacteria are associated with toxic shock syndrome. We report here a first case of infective endocarditis due to C. sordellii from a female patient with ventricular septal defect from India.


2006 ◽  
Vol 55 (7) ◽  
pp. 953-956 ◽  
Author(s):  
Toshinobu Horii ◽  
Sayuri Izumida ◽  
Kiyotake Takeuchi ◽  
Toyohiro Tada ◽  
Jinko Ishikawa ◽  
...  

The authors treated a patient for what appears to be the first reported occurrence of acute peritonitis and salpingitis associated with streptococcal toxic shock syndrome (STSS). This was caused by Lancefield group G α-haemolytic Streptococcus dysgalactiae subsp. equisimilis TKCH2004-001. The isolate showed M protein type stc36 and carried the spegg gene. To the best of the authors' knowledge, the present report represents the first case of STSS complicating acute peritonitis and salpingitis caused by Lancefield group G α-haemolytic S. dysgalactiae subsp. equisimilis.


2006 ◽  
Vol 55 (2) ◽  
pp. 179-182 ◽  
Author(s):  
Abdulmula El-Ghodban ◽  
Khalifa Sifaw Ghenghesh ◽  
Károly Márialigeti ◽  
Hamida Esahli ◽  
Abdurrahman Tawil

Sixty-three Staphylococcus aureus strains (40 from clinical sources and 23 from food sources) were examined for toxic shock syndrome toxin-1 (TSST-1) using PCR, phage typed using the international phage set (IPS) and tested for their susceptibility to antibiotics. Only three strains (all from clinical sources) were positive for the TSST-1 gene (tst). The majority of S. aureus strains that were typeable by IPS belonged to group II. Resistance to one or more antibiotics was detected in 47·5 and 73·9 % of clinical and food strains, respectively. This is the first time that PCR detection of tst in S. aureus has been reported from Libya, and further studies are needed on the occurrence of toxic shock syndrome in the community and the role of TSST-1-producing S. aureus in this disease in Libya.


Sign in / Sign up

Export Citation Format

Share Document