DONALD S. FRALEY, M.D.; FRANK J. BRUNS, M.D.; DAVID P. SEGEL, M.D.; SHELDON ADLER, M.D.
To the editor: Recent papers in your journal (1, 2) on the toxic shock syndrome indicated renal dysfunction in 67% to 88% of the population described. In spite of this the authors indicated the infrequent need for dialysis and the rapid recovery of renal function within the first week in all but two patients. We recently cared for a woman critically ill with the toxic shock syndrome in whom hemodialysis played a beneficial role.
A 38-year-old woman presented with fever, myalgias, prostration, diarrhea, and diffuse maculopapular rash followed by desquamation, marked hypotension, and both atrial and ventricular arrhythmias. She responded
FRALEY DS, BRUNS FJ, SEGEL DP, ADLER S. Hypotension in the Toxic Shock Syndrome. Ann Intern Med. ;95:124–125. doi: 10.7326/0003-4819-95-1-124
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Published: Ann Intern Med. 1981;95(1):124-125.
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