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July 1989

Toxic Shock Syndrome Caused by a Strain of Staphylococcus aureus That Produces Enterotoxin C but Not Toxic Shock Syndrome Toxin-1

Author Affiliations

From the Department of Pediatrics, University of Florida, Gainesville (Drs Rizkallah and Ayoub); the University Hospital, Jacksonville, Fla (Drs Tolaymat and Martinez); and the Department of Microbiology, Medical School, University of Minnesota, Minneapolis (Dr Schlievert).

Am J Dis Child. 1989;143(7):848-849. doi:10.1001/archpedi.1989.02150190098031

• An 8-month-old infant presented with pneumonia and pleural effusion associated with clinical manifestation of toxic shock syndrome. A Staphylococcus aureus strain isolated from the pleural fluid produced enterotoxin C, but not toxic shock syndrome toxin-1 or other enterotoxins. Acute and convalescent sera showed an antibody rise to enterotoxin C but not to toxic shock syndrome toxin-1. These findings support the possibility that enterotoxin C was the primary toxin associated with this infant's illness.

(AJDC. 1989;143:848-849)

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