Open AccessToxic shock syndrome within 24 h of an office hysteroscopy
Author(s) -
Nanak Bhagat,
Akilandeshwari Karthikeyan,
Sanjaya Kalkur
Publication year - 2017
Publication title -
journal of mid-life health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.423
H-Index - 11
eISSN - 0976-7819
pISSN - 0976-7800
DOI - 10.4103/jmh.jmh_93_16
Subject(s) - hysteroscopy , medicine , shock (circulatory) , abdominal pain , vomiting , toxic shock syndrome , uterine cavity , incidence (geometry) , antibiotics , surgery , obstetrics , dermatology , uterus , physics , microbiology and biotechnology , biology , bacteria , optics , genetics , staphylococcus aureus
Office hysteroscopy is now a common procedure performed to look at the endometrial cavity and is relatively free of serious complications. A 68-year-old lady, previously fit and well, presented with abdominal pain, rigors, sweats, and vomiting within 24 h of an outpatient hysteroscopy for postmenopausal bleeding. She was diagnosed with streptococcal toxic shock syndrome (STSS) due to Group A beta-hemolytic streptococci. She was managed in the Intensive Care Unit, with inotropic and antibiotic support. She recovered eventually and was discharged home with oral antibiotics. Toxic shock syndrome due to Streptococci is an unusual occurrence, whose incidence has been slowly increasing over the years. However, this appears to be the first case of STSS manifesting within 24 h following an outpatient hysteroscopy.