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Toxic-shock syndrome complicating recovery from elective cholecystectomy.

Toxic-shock syndrome (TSS), an illness which has only recently been recognised,I,2 has most commonly been associated with continuous tampon usage by women in the first few days of their menstrual period. 3,4 This paper describes the development of an illness with the clinical features of TSS 10 days after an elective cholecystectomy in a nonmenstruating woman. CASE REPORT A 21-year-old female was admitted to the intensive care unit at the Royal Newcastle Hospital with fever, unrecordable systemic arterial blood pressure and cold, cyanotic extremities. Ten days previously she had undergone an elective cholecystectomy for chronic cholecystitis and was discharged in a satisfactory condition five days after surgery. Antibiotics were not used at any time during that admission. Eight days after surgery and two days before re-admission she had developed a fever, rigors, nausea, vomiting, generalised weakness, polyarthralgia, myalgia and a generalised erythematous rash. On admission to the intensive care unit she was conscious and rational. However, her