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A Case of Postpartum Methicillin-resistant Staphylococcus Aureus Toxic Shock Syndrome: A Stitch in Time
Correspondence Address :
Prashant Dwarkanath Suryarao,
Associate Professor, Department of Obstetrics and Gynaecology, Dr. D.Y. Patil Medical College and Hospital, Pune, Maharashtra, India.
E-mail: prashant.suryarao@dpu.edu.in
Toxic Shock Syndrome (TSS) is a sudden, systemic, toxin-induced disease that leads to the failure of multiple organs. It is a potentially fatal illness that might occur in the postoperative period. A 30-year-old woman in her second pregnancy, who had given birth via elective Lower Segment Caesarean Section (LSCS), presented to the Emergency Department on the tenth day after the surgery with septic features. She complained of a high-grade fever persisting for eight days, along with a rash that initially appeared on her upper limbs and gradually spread to her entire body. During the local examination, vulval excoriation with desquamation and peeling of the skin were observed. The imaging revealed a well-defined collection with heterogeneous enhancement in the infraumbilical region of the lower anterior abdominal wall. Multiple intralesional free air foci, primarily involving the bilateral rectus abdominis muscles, were also observed, along with mild fat stranding. These findings suggested an infective origin for the condition. The patient was stabilised and managed in the Surgical Intensive Care Unit (SICU). In order to combat the infection, broad-spectrum antibiotics with coverage against gram-negative bacteria were initiated. Subsequently, the patient developed a wound gap and underwent secondary wound closure. The present case report highlights the importance for healthcare practitioners to recognise the symptoms of postpartum TSS and take proactive measures to prevent its potential complications. Methicillin-resistant Staphylococcus Aureus (MRSA) is an iatrogenic and life-threatening infection; hence, proper treatment with a multidisciplinary approach will prevent maternal morbidity and mortality.
Lower segment caesarean section, Postpartum infection, Surgical site infection
DOI: 10.7860/JCDR/2024/70422.19592
Date of Submission: Mar 02, 2024
Date of Peer Review: Apr 22, 2024
Date of Acceptance: May 10, 2024
Date of Publishing: Jul 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 02, 2024
• Manual Googling: Apr 24, 2024
• iThenticate Software: May 08, 2024 (11%)
ETYMOLOGY: Author Origin
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