Tuesday, January 13, 2015

Shock tóxico

PulmCrit: Pulmonary Intensivist´s Blog
PulmCrit: Pulmonary Intensivist´s Blog - January 4, 2015
Toxic shock syndrome (TSS) is critical to recognize because it can be rapidly lethal and yet is usually treatable. TSS is a relatively new disease, first described in 1978. The prevalence has increased over the last few decades due to shifts in the circulating strains of Group A streptococcus. However, awareness of this disorder remains low. The following two cases illustrate how this disease may present in different ways."

PulmCrit: Pulmonary Intensivist´s Blog - January 11, 2015
Toxic shock syndrome (TSS) is a true resuscitationist's disease. It is potentially quite lethal, with many series of streptococcal toxic shock syndrome reporting mortality in the range of 30-50%. However, recent observational studies suggest that treatment with modern critical care, toxin-suppressive antibiotics, and IVIG may reduce the mortality to 10%. 
After last week's post on diagnosis, this post explores management. Treatment primarily consists of high-quality sepsis care, but there are some important points that are unique to TSS. This is illustrated in two examples."