Staphylococcal toxic shock syndrome after undergoing CS: NEJ
A 33-year-old woman presented with a 4-day history of fever and abdominal pain, 7 days after undergoing a cesarean section. She had diffuse erythroderma, and the blood pressure was 85/48 mm Hg.

A workup revealed elevated creatinine and liver-enzyme levels, and specimens of urine and specimens from the vagina were cultured and grew Staphylococcus aureus. Her condition worsened over the next day, with acute respiratory distress; subsequently, desquamation of her hands occurred.

A diagnosis of staphylococcal toxic shock syndrome was made. Desquamation is characteristic of staphylococcal toxic shock syndrome, typically occurring 1 to 2 weeks after the onset of illness and typically involving the palms and soles.

Clinical Pearls:-
- Staphylococcal toxic shock syndrome is associated with a wide variety of clinical settings, such as menstruation, postpartum and postsurgical states, barrier contraceptive use, staphylococcal pneumonia, sinusitis, and superinfected skin lesions.

- With supportive care and the administration of floxacillin, the patient recovered completely. The skin changes resolved within 4 weeks after the onset of illness.

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