[Maternal-fetal staphylococcal toxic shock syndrome with chorioamniotitis].

A Lacoste, A Torregrosa, S Dubois, H Apéré, V Oyharçabal, M Carré, C Cayla-Embarek, X Hernandoréna,P Jouvencel

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie(2006)

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Abstract
We report a rare case of mother-infant pair with Staphylococcal Toxic Shock Syndrome (TSS). A term neonate was born by caesarean section for maternal septic syndrome during per-partum. He presented with respiratory distress complicated by pulmonary hypertension, skin rash, and multiple organ system involvement. Staphylococcus aureus was isolated from placenta, surface swabs and gastric aspirate. He received adapted antibiotics, respiratory support by high frequency ventilation and NO. The mother had shock, skin rash and inflammatory syndrome. Outcome was good in both cases. The isolate produced enterotoxin C and L. Shock, exanthematous disease and multi-organ involvement complicating a staphylococcal infection in neonate must lead to suspect a TSS.
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