darkhorse
Forum Elite
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Clinical criteria for toxic shock syndrome include all of the
following except:
a. Fever
b. Positive blood cultures
c. Hypotension
d. Involvement of 3 or more organ systems
e. Erythroderma
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| neurom
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D?
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| treblechar
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it's b. CDC case definition for toxic shock syndrome requires presence of the following 5 clinical criteria:
1. temperature =/> 38.9degC
2. low blood pressure (including fainting or dizziness on standing)
3. widespread red flat rash
4. shedding of skin, especially on palms and soles, 1-2 weeks after onset of illness
5. abnormalities in 3 or more of the following organ systems:
for streptococcal toxic shock-like syndrome (STSS)
isolation of group A streptococci and hypotension with 2 or more of the following clinical criteria:
1. renal impairment: decreased urine output
2. coagulopathy: bleeding problems
3. liver problems
4. rash that may shed, especially on palms and soles, 1-2 weeks after onset of illness
5. difficulty breathing
6. soft tissue necrosis including necrotising fasciitis, myositis and gangrene
- CDC
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| doyoudig
Forum Guru
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its a clinical Dx so b. Positive blood cultures is wrong
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| drduck
Forum Guru
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infection only involves the skin and subcut tissue....blood cultures are so usually negative...
rest all well told by treblechar.
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| chemamr
Moderator and PGY1
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b?
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| darkhorse
Forum Elite
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Posts: 275
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well eplained by treblechar...B is the correct answer
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