emDocs - February 7, 2017 - By Gettel C, Smith J - Edited by: Koyfman A and Long B
"Key Points for the ED provider
- TSS is often a late diagnosis, and there have been many unfortunate cases, which were initially given a more benign diagnosis.
- Systemic illness plus blanchable, diffuse rash or ‘pain out of proportion’ should clue the clinician into TSS, either from aureus or S. pyogenes.
- Half of the cases are from tampon use, while other common precipitants include nasal packing and surgical wound infections.
- Resuscitation efforts should be initiated by the ED provider, including source control and supportive care with IV fluids, vasopressors, and appropriate antibiotics."