A SLE Case with Toxic Shock Syndrome after Delivery

DOI PubMed 2 Citations 13 References
  • KADOYA Akifumi
    Department of Internal Medicine, Kitasato University, School of Medicine
  • IIKUNI Yayoi
    Department of Internal Medicine, Kitasato University, School of Medicine
  • HOSAKA Shigeru
    Department of Internal Medicine, Kitasato University, School of Medicine
  • OKADA Jun
    Department of Internal Medicine, Kitasato University, School of Medicine
  • KONDO Hirobumi
    Department of Internal Medicine, Kitasato University, School of Medicine

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Other Title
  • 出産後にMRSAによるToxic shock syndromeを合併したSLEの1例

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Abstract

We experienced a SLE patient with TSS after delivery. A 32-year-old SLE patient was transferred to our division due to fever, diarrhea, erosive rash, pericardial effusion, myalgia, lowblood pressure, thorombocytopenia and hypoproteinemia which appeared two days after transvaginal delivery. At the time of admission, we considered these symptoms as the exacerbation of SLE, and treatment with high doses of steroid was started. It was when TSST-1-producing-MRSA was cultured from the vagina and uterus that TSS was suspected. 2 g/day of vancomycin was administered and her symptoms improved. As observed in this case, it is important to consider TSS as one of the complications seen with SLE patients after delivery.

Journal

  • Kansenshogaku Zasshi

    Kansenshogaku Zasshi 70 (12), 1279-1283, 1996

    The Japanese Association for Infectious Diseases

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