Hypotension in the Toxic Shock Syndrome
Authors: DONALD S. FRALEY
Journal: Annals of Internal Medicine (1981)

Letters and Corrections1 July 1981Hypotension in the Toxic Shock SyndromeDONALD S. FRALEY, M.D., FRANK J. BRUNS, M.D., DAVID P. SEGEL, M.D., SHELDON ADLER, M.D.DONALD S. FRALEY, M.D.Search for more papers by this author, FRANK J. BRUNS, M.D.Search for more papers by this author, DAVID P. SEGEL, M.D.Search for more papers by this author, SHELDON ADLER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-1-124 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: Recent papers in your journal (1, 2) on the toxic shock syndrome indicated renal dysfunction in 67% to 88% of the population described. In spite of this the authors indicated the infrequent need for dialysis and the rapid recovery of renal function within the first week in all but two patients. We recently cared for a woman critically ill with the toxic shock syndrome in whom hemodialysis played a beneficial role.A 38-year-old woman presented with fever, myalgias, prostration, diarrhea, and diffuse maculopapular rash followed by desquamation, marked hypotension, and both atrial and ventricular arrhythmias. She responded...References1. TOFTE R and WILLIAMS D. Toxic shock syndrome: clinical and laboratory features in 15 patients. Ann Intern Med. 1981;94:149-56. LinkGoogle Scholar2. FISHER R, GOODPASTURE H, PETERIE J, and VOTH D. Toxic shock syndrome in menstruating women. Ann Intern Med. 1981;94:156-63. LinkGoogle Scholar3. SCHLIEVERT P, SCHOETTLE D, and WATSON D. Purification and physicochemical and biological characterization of a staphylococcal pyrogenic exotoxin. Infect Immunol. 1979;23:609-17. CrossrefMedlineGoogle Scholar4. SCHLIEVERT P. Purification and characterization of staphylococcal pyrogenic exotoxin type B. Biochemistry. 1980;19:6204-8. CrossrefMedlineGoogle Scholar1. DROP L and LAVER M. Low plasma ionized calcium and response to calcium therapy in critically ill man. Anesthesiology. 1975;43:300-6. CrossrefMedlineGoogle Scholar2. TAYLOR B, SIBBALD W, EDMONDS M, HOLLIDAY R, and WILLIAMS C. Ionized hypocalcemia in critically ill patients with sepsis. Can J Surg. 1978;21:429-33. MedlineGoogle Scholar3. STULZ P, SCHEIDEGGER D, DROP L, LOWENSTEIN E, and LAVER M. Ventricular pump performance during hypocalcemia: clinical and experimental studies. J Thorac Cardiovasc Surg. 1979;78:185-94. CrossrefMedlineGoogle Scholar4. DROP L and SCHEIDEGGER D. Plasma ionized calcium concentration. J Thorac Cardiovasc Surg. 1980;79:425-31. CrossrefMedlineGoogle Scholar5. TOFTE R and WILLIAMS D. Toxic shock syndrome: clinical and laboratory features in 15 patients. Ann Intern Med. 1981;94:149-56. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: DONALD S. FRALEY, M.D.; FRANK J. BRUNS, M.D.; DAVID P. SEGEL, M.D.; SHELDON ADLER, M.D.Affiliations: University of Pittsburgh School of Medicine Pittsburgh, PA 15213 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAnimal Studies of Toxic Shock SyndromeStaphylococcal tracheitis and toxic shock syndrome in a young childToxic Shock Syndrome: Management and Long-Term SequelaeP. JOAN CHESNEY, M.D., BARBARA A. CRASS, B.Sc., MARCIA B. POLYAK, M.S., PHILIP J. WAND, B.Sc., THOMAS F. WARNER, M.B., B.Ch., JAMES M. VERGERONT, M.D., JEFFREY P. DAVIS, M.D., ROBERT W. TOFTE, M.D., RUSSELL W. CHESNEY, M.D., MERLIN S. BERGDOLL, Ph.D. 1 July 1981Volume 95, Issue 1Page: 124-125KeywordsArrhythmiaDesquamationDiarrheaFeversHypotensionMedical dialysisMyalgiaRashesToxic shock syndrome ePublished: 1 December 2008 Issue Published: 1 July 1981 PDF downloadLoading ...