The Toxic Shock Syndrome and Staphylococcus lugdunensis Bacteremia
Authors: Jaime Pareja
Journal: Annals of Internal Medicine (1998)

Letters1 April 1998The Toxic Shock Syndrome and Staphylococcus lugdunensis BacteremiaJaime Pareja, MD, Kal Gupta, MD, and Henry Koziel, MDJaime Pareja, MDBeth Israel Deaconess Medical Center; Boston, MA 02215, Kal Gupta, MDBeth Israel Deaconess Medical Center; Boston, MA 02215, and Henry Koziel, MDBeth Israel Deaconess Medical Center; Boston, MA 02215Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-7-199804010-00029 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The toxic shock syndrome is often associated with Staphylococcus aureus and is mediated by toxic shock syndrome toxin-1 (TSST-1) and other enterotoxins. We describe the first case of the toxic shock syndrome associated with a coagulase-negative staphylococcal species, S. lugdunensis.A 33-year-old, otherwise healthy woman developed nausea, vomiting, diffuse abdominal pain, myalgias, and confusion within 48 hours of tooth extraction and Gelfoam packing (Pharmacia-Upjohn, Kalamazoo, Michigan). Evaluation in the emergency department revealed a faint erythematous macular rash of the chest and livedo reticularis of the legs. General and pelvic examination were otherwise normal. Admission data (Table 1) ...References1. Kahler RC, Boyce JM, Bergdoll MS, Lockwood WR, Taylor MR. Case report: toxic shock syndrome associated with TSST-1 producing coagulase-negative staphylococci. Am J Med Sci. 1986; 292:310-2. Google Scholar2. Crass BA, Bergdoll MS. Involvement of coagulase-negative staphylococci in toxic shock syndrome. J Clin Microbiol. 1986; 23:43-5. Google Scholar3. Kreiswirth BN, Schlievert PM, Novick RP. Evaluation of coagulase-negative staphylococci for ability to produce toxic shock syndrome toxin 1. J Clin Microbiol. 1987; 25:2028-9. Google Scholar4. Kralovic SM, Melin-Aldana H, Smith KK, Linneman CC Jr. Staphylococcus lugdunensis endocarditis after tooth extraction. Clin Infect Dis. 1995; 20:715-6. Google Scholar5. Ramzi TY, Gross CW, Rande HL. Toxic shock syndrome following functional endonasal sinus surgery: a case report. Head Neck. 1991; 13:247-8. Google Scholar Author, Article, and Disclosure InformationAffiliations: Beth Israel Deaconess Medical Center; Boston, MA 02215 PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byMulticenter retrospective cohort study of the clinical significance of Staphylococcus lugdunensis isolated from a single blood culture setStaphylococcus lugdunensis infection of ventriculoperitoneal shunt in adult: Case report and literature reviewThe occurrence of infective endocarditis with Staphylococcus lugdunensis bacteremia: A retrospective cohort study and systematic reviewStaphylococcus lugdunensis, a serious pathogen in periprosthetic joint infections: comparison to Staphylococcus aureus and Staphylococcus epidermidisInfections bactériennes systémiquesIsolation of methicillin-resistant Staphylococcus lugdunensis in a dog with endocarditisCase-control study of Staphylococcus lugdunensis infection isolates from small companion animalsStaphylococcus Lugdunensis, An Aggressive Coagulase-Negative Pathogen not to be UnderestimatedOccurrence of genes of putative fibrinogen binding proteins and hemolysins, as well as of their phenotypic correlates in isolates of S. lugdunensis of different originsFbl is not involved in the invasion of eukaryotic epithelial and endothelial cells by Staphylococcus lugdunensisStaphylococcus lugdunensis : the coagulase-negative staphylococcus you don't want to ignoreSkin and soft tissue infections caused by Staphylococcus lugdunensis: Report of 20 casesStaphylococcus lugdunensis in several niches of the normal skin floraSkin Manifestations of Systemic Bacterial InfectionsManifestations dermatologiques des infections bactériennes systémiquesStaphylococcus lugdunensis — Not the Average Coagulase-Negative Staphylococcus SpeciesStaphylococcus pseudolugdunensis sp. nov., a pyrrolidonyl arylamidase/ornithine decarboxylase-positive bacterium isolated from blood culturesBone and Joint Infections Caused by Staphylococcus lugdunensisStaphylococcus lugdunensisFrom Clinical Microbiology to Infection Pathogenesis: How Daring To Be Different Works for Staphylococcus lugdunensisOsteomyelitis of the ear canal caused by Staphylococcus lugdunensisStaphylococcus lugdunensis: clinical spectrum, antibiotic susceptibility, and phenotypic and genotypic patterns of 39 isolatesStaphylococcus lugdunensis Prosthetic Mitral Valve Endocarditis Complicated by Paravalvular Abscess and Septic EmboliProgressiveStaphylococcus lugdunensis endocarditis despite antibiotic treatmentShock tóxico por Staphylococcus lugdunensisThe "surreptitious staphylococcus"staphylococcus lugdunensis endocarditis in a childFrequency of Isolation of Staphylococcus lugdunensis in Consecutive Urine Cultures and Relationship to Urinary Tract InfectionStaphylococcus lugdunensis: a notably distinct coagulase-negative staphylococcus 1 April 1998Volume 128, Issue 7Page: 603-604KeywordsBacteremiaBloodEndocarditisEnterotoxinsProsthetic device infectionsSepsisShockStaphylococcal infectionStaphylococcusToxic shock syndrome Issue Published: 1 April 1998 Copyright & PermissionsCopyright © 1998 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...