Novel case of an adult with toxic shock syndrome following COVID-19 infection | Zendy

Yilin Feng | Zendy; Stephen T. Armenti | Zendy; Owen Albin | Zendy; Shahzad I. Mian | Zendy

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Novel case of an adult with toxic shock syndrome following COVID-19 infection

Author(s) -

Yilin Feng,

Stephen T. Armenti,

Owen Albin,

Shahzad I. Mian

Publication year - 2020

Publication title -

american journal of ophthalmology case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.432

H-Index - 10

ISSN - 2451-9936

DOI - 10.1016/j.ajoc.2020.100843

Subject(s) - toxic shock syndrome , shock (circulatory) , rash , medicine , eyelid , covid-19 , dermatology , inflammation , skin biopsy , pathology , immunology , biopsy , surgery , disease , biology , infectious disease (medical specialty) , bacteria , genetics , staphylococcus aureus

PurposeTo report a case of an adult who developed toxic shock syndrome following COVID-19 infection.ObservationsA 28-year-old female tested positive for COVID-19. 19 days later, she developed a fever, rash and a burning sensation in both eyes. Her examination revealed mild ocular inflammation with bilateral eyelid and conjunctival involvement. Skin biopsy favored a diagnosis of toxic shock syndrome. She was initiated on corticosteroid eye drops and her ocular symptoms resolved three days later.Conclusionand importance: Toxic shock syndrome is almost always associated with conjunctival inflammation. To our knowledge, this is the first report of an adult patient with toxic shock syndrome following COVID-19 infection. The association between toxic shock syndrome and COVID-19 is unclear; however, patients should be vigilant for symptoms as toxic shock syndrome can progress rapidly and cause multi-organ failure.

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