STEPHEN L. DEMETER, M.D.; CHARLES FUENNING, M.D.; JEFFREY J. KLEIN, M.D.
To the editor: Todd and associates (1) first described the toxic shock syndrome in 1978. Since then, numerous cases have been reported that have refined our understanding of the clinical, bacteriologie, and toxicologic basis of this disease. Pulmonary findings in this syndrome include tachypnea, hypoxemia, and radiographic findings consistent with the adult respiratory distress syndrome. We recently cared for a patient with typical toxic shock syndrome with acute respiratory distress syndrome and bilateral pleural effusions.
A previously healthy, 20-year-old white woman had sudden onset of fever, chills, myalgias, and headache on the fifth day of menstruation. Within 12 hours she
DEMETER SL, FUENNING C, KLEIN JJ. Pleural Effusion in Toxic Shock Syndrome. Ann Intern Med. ;97:148–149. doi: 10.7326/0003-4819-97-1-148_2
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Published: Ann Intern Med. 1982;97(1):148-149.
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