Advanced cervical carcinoma presenting with toxic shock syndrome.

Abstract:

:Toxic shock syndrome is a multisystem disease which presents with a high fever, rash, gastrointestinal symptoms, and hypotension. A 58-year-old woman presented to the emergency room with these symptoms, hypotension and tachycardia. Because of vaginal spotting a pelvic examination was performed which demonstrated vulvo/vaginal erythema and a large vaginal mass consistent with an advanced cervical cancer with bilateral pelvic sidewall fixation. Cervical/vaginal biopsy demonstrated invasive squamous cell carcinoma and an initial chest X ray demonstrated multiple pulmonary metastases. After a total of 8 days of antibiotic therapy the patient received cis-platinum chemotherapy. The toxic shock syndrome was the presenting symptomatology in this patient with advanced cervical cancer. Toxic shock syndrome has been associated with the use of hyperabsorbent tampons as well as numerous other gynecologic procedures but has not been reported in patients with gynecologic cancer.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Rose PG,Wilson G

doi

10.1006/gyno.1994.1043

subject

Has Abstract

pub_date

1994-02-01 00:00:00

pages

264-6

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(84)71043-2

journal_volume

52

pub_type

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