Staphylococcal TS

Most often associated with colonization of surgical wounds, burns, vaginitis, or tampon use in young women. Cases are also seen after nasal packing for epistaxis. Mortality is low (early signs of multiorgan failure.

• Blood cultures are usually negative but help rule out alternative pathogens. Alternative diagnosis such as Rocky Mountain spotted fever (RMSF) and leptospirosis should also be considered and ruled out with appropriate testing.

TREATMENT

See Table 14-1.