Featured Research

from universities, journals, and other organizations

Sinus Infections May Be A Factor In Toxic Shock Syndrome In Children

Date:
June 16, 2009
Source:
JAMA and Archives Journals
Summary:
Rhinosinusitis (infection and inflammation in the sinus passages surrounding the nose) appears to be a primary factor in about one-fifth of toxic shock syndrome cases in children, according to a new article.

Rhinosinusitis (infection and inflammation in the sinus passages surrounding the nose) appears to be a primary factor in about one-fifth of toxic shock syndrome cases in children, according to a new article.

The hallmark signs of toxic shock syndrome are fever, rash and low blood pressure, according to background information in the article. The condition is usually caused by infection with the bacteria Staphylococcus aureus, although streptococcal bacteria have also been implicated. Toxic shock syndrome is widely recognized as a disease associated with tampon use and menstruation, the authors note. "Although not as publicized, numerous other risk factors have been established for toxic shock syndrome in association with focal infections, such as surgical wound infections (notably after rhinologic surgery and nasal packing), postpartum and postabortion infections and a wide variety of connective tissue lesions," they write.

Kenny H. Chan, M.D., of the University of Colorado School of Medicine and The Children's Hospital of Denver, and colleagues analyzed the medical records of 76 children (average age 10) who were identified as having toxic shock syndrome between 1983 and 2000. Of these, 23 were also diagnosed as having either acute or chronic rhinosinusitis. No other source of infection was identified in 17 cases.

"Correlation of the data revealed four patients who met the criteria for proven toxic shock syndrome and proven rhinosinusitis, two patients who met the criteria for probable toxic shock syndrome and proven rhinosinusitis, seven patients who met the criteria for proven toxic shock syndrome and possible rhinosinusitis and three patients who met the criteria for probable toxic shock syndrome and possible rhinosinusitis," the authors write.

Of the 23 patients with toxic shock syndrome and rhinosinusitis, 10 were admitted to the intensive care unit (ICU), four required pressors (medications to increase blood pressure) and six received surgical interventions. There was little difference in the average number of hospital days following toxic shock syndrome between children with rhinosinusitis and those without, although those with rhinosinusitis had a higher incidence of ICU admission, pressor administration and intubation.

"This study illustrates several salient points concerning toxic shock syndrome and rhinosinusitis in children," the authors write. "First, rhinosinusitis as the primary culprit in the pathogenesis of toxic shock syndrome is not a sporadic phenomenon. In fact, the frequency of this combination for this 18-year series is an impressive 21 percent."

"It is imperative that physicians, particularly those who are providing intensive care to children, recognize that rhinosinusitis can be the sole cause of toxic shock syndrome in children," they conclude. "Prompt imaging studies of the sinuses is mandatory when no apparent cause of toxic shock syndrome is found. Once rhinosinusitis is diagnosed, timely otolaryngology referral should be obtained, and sinus culture and lavage should be considered if the clinical condition warrants it."


Story Source:

The above story is based on materials provided by JAMA and Archives Journals. Note: Materials may be edited for content and length.


Journal Reference:

  1. Kenny H. Chan; Tania L. Kraai; Gresham T. Richter; Sharon Wetherall; James K. Todd. Toxic Shock Syndrome and Rhinosinusitis in Children. Arch Otolaryngol Head Neck Surg, 2009;135(6):538-542 [link]

Cite This Page:

JAMA and Archives Journals. "Sinus Infections May Be A Factor In Toxic Shock Syndrome In Children." ScienceDaily. ScienceDaily, 16 June 2009. <www.sciencedaily.com/releases/2009/06/090615161709.htm>.
JAMA and Archives Journals. (2009, June 16). Sinus Infections May Be A Factor In Toxic Shock Syndrome In Children. ScienceDaily. Retrieved October 23, 2014 from www.sciencedaily.com/releases/2009/06/090615161709.htm
JAMA and Archives Journals. "Sinus Infections May Be A Factor In Toxic Shock Syndrome In Children." ScienceDaily. www.sciencedaily.com/releases/2009/06/090615161709.htm (accessed October 23, 2014).

Share This



More Health & Medicine News

Thursday, October 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Orthodontist Mom Jennifer Salzer on the Best Time for Braces

Working Mother (Oct. 22, 2014) Is your child ready? Video provided by Working Mother
Powered by NewsLook.com
U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

U.S. Issues Ebola Travel Restrictions, Are Visa Bans Next?

Newsy (Oct. 22, 2014) Now that the U.S. is restricting travel from West Africa, some are dropping questions about a travel ban and instead asking about visa bans. Video provided by Newsy
Powered by NewsLook.com
US to Track Everyone Coming from Ebola Nations

US to Track Everyone Coming from Ebola Nations

AP (Oct. 22, 2014) Stepping up their vigilance against Ebola, federal authorities said Wednesday that everyone traveling into the US from Ebola-stricken nations will be monitored for symptoms for 21 days. (Oct. 22) Video provided by AP
Powered by NewsLook.com
Doctors Help Paralysed Man Walk Again, Patient in Disbelief

Doctors Help Paralysed Man Walk Again, Patient in Disbelief

AFP (Oct. 22, 2014) Polish doctors describe how they helped a paralysed man walk again, with the patient in disbelief at the return of sensation to his legs. Duration: 1:04 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins