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CASE REPORT
Year : 2017  |  Volume : 8  |  Issue : 2  |  Page : 92-94

Toxic shock syndrome within 24 h of an office hysteroscopy


Department of Obstetrics and Gynaecology, Southend University Hospital, Prittlewell Chase, Southend on Sea, SS0 0RY, UK

Correspondence Address:
Nanak Bhagat
Department of Obstetrics and Gynaecology, Southend University Hospital, Prittlewell Chase, Southend on Sea, SS0 0RY
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmh.JMH_93_16

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Office hysteroscopy is now a common procedure performed to look at the endometrial cavity and is relatively free of serious complications. A 68-year-old lady, previously fit and well, presented with abdominal pain, rigors, sweats, and vomiting within 24 h of an outpatient hysteroscopy for postmenopausal bleeding. She was diagnosed with streptococcal toxic shock syndrome (STSS) due to Group A beta-hemolytic streptococci. She was managed in the Intensive Care Unit, with inotropic and antibiotic support. She recovered eventually and was discharged home with oral antibiotics. Toxic shock syndrome due to Streptococci is an unusual occurrence, whose incidence has been slowly increasing over the years. However, this appears to be the first case of STSS manifesting within 24 h following an outpatient hysteroscopy.


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