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An Unusual Case of Toxic Shock Syndrome: A Case Report and Review of Viral Etiologic Agents

Kaur, Amandeep MD*; Loganathan, Raghu MD, FCCP†; Schliep, Tjark MD*; Singh, Dharamveer MD†; Kanna, Balavenkatesh MD†; Sivapalan, Vel MD, FACP*

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31820a52cc
Case Reports
Abstract

Toxic shock syndrome is a multisystemic illness most often associated with toxins produced by Staphylococcus aureus and group A Streptococcus. An extensive review of available literature revealed many other microbial agents including viruses to be associated with toxic shock syndrome. Parvovirus B-19 is usually a self-limiting illness. There has been only 1 case report of acute Parvovirus B-19 infection in association with severe sepsis. We report the first case of acute Parvovirus B-19 infection that fulfilled the CDC criteria for the diagnosis of Toxic Shock Syndrome in an immunocompetent host.

Author Information

From the *Columbia University Medical Center, The Affiliation at Harlem Hospital; and †Lincoln Medical and Mental Health Center, New York, NY.

Correspondence to: Amandeep Kaur, MD, Division of Infectious Diseases, Department of Medicine, Room 3101 A, 506 Lenox Ave, New York City, NY 10037. E-mail: ak3076@columbia.edu; Vel Sivapalan, MD, FACP, Division of Infectious Diseases, Department of Medicine, Room 3101 A, 506 Lenox Ave, New York City, NY 10037. E-mail: vs10@columbia.edu.

The authors have no funding or conflicts of interest to disclose.

© 2011 Lippincott Williams & Wilkins, Inc.