J Med Assoc Thai 2001; 84 (3):453

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Toxic Shock Syndrome After Anterior-Posterior Nasal Packing
Aeumjaturapat S Mail, Supanakorn S , Cutchavaree A

Toxic shock syndrome (TSS) is a severe, potentially life-threatening multisystem disease.
It
is rather rare with the incidence estimated to be 16.5/100,000 of nasal surgery performed in
the United States. A milder degree of TSS may be more common. Surgeons who perform
sino-nasal surgery should be aware of this disease, although certain criteria for definite TSS
are absent. Early recognition and prompt intervention is important to minimize the morbidity
and mortality associated with this disease. This paper presents the first reported case of a
milder degree of TSS after anterior-posterior nasal packing in Thailand. The criteria for diag-
nosis, the pathogenesis, and the management of TSS were reviewed.
Key word
: Toxic Shock Syndrome, Nasal Packing, Epistaxis

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