HENRY MILGROM, M.D.; ERSKINE L. PALMER, PH.D.; SUSAN F. SLOVIN, PH.D.; DAVID M. MORENS, M.D.; STANLEY D. FREEDMAN, M.D.; JOHN H. VAUGHAN, M.D.
To the editor: The apparently increasing incidence of the tampon-related toxic shock syndrome and its striking similarity to Kawasaki disease (1-3) has rekindled our interest in a case study we recently reported (4).
A 26-year old woman was found to have the symptoms of Kawasaki disease—namely, fever, myalgias and asthenia, nausea and vomiting, palmar and plantar diffuse and maculopapular rash followed by desquamation, hepatosplenomegaly, marked hypotension, and cardiac manifestations. The syndrome responded to fluids and electrolyte replacement and naproxen. The illness recurred 1 month later. In retrospective review, the patient was a regular user of tampons (not Rely) and became
HENRY MILGROM, ERSKINE L. PALMER, SUSAN F. SLOVIN, DAVID M. MORENS, STANLEY D. FREEDMAN, JOHN H. VAUGHAN. Toxic Shock Syndrome or Kawasaki Disease. Ann Intern Med. 1981;94:138. doi: 10.7326/0003-4819-94-1-138_1
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Published: Ann Intern Med. 1981;94(1):138.
Multi-Organ Failure and Sepsis, Pulmonary/Critical Care, Rheumatology, Vasculitides.
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