Table 3.
Case series of published CoNS induced TSS in the recent literature
Author (year) | Age of patient/sex | CoN Strain isolated | TSS criteria | Treatment | Outcome | Comments |
---|---|---|---|---|---|---|
Goda K, et al. (2021) [10] | 75 yrs/female | Staphylococcus simulans | 4/5 |
Initial treatment meropenem (1 g every 8 h), vancomycin (1 g every 12 h, therapeutic drug monitoring: ≥15 µg/mL), and clindamycin (600 mg every 8 h). Targeted treatment: cefazolin (1 g q8h) and clindamycin (600 mg q8h), duration 14 days. |
Not reported |
Pneumococcal pneumonia and bacteremia from S. simulans following an influenza type A infection Increased levels of cytokines |
Pomputius WF, et al. (2023 [11] |
8yrs/ male | Staphylococcus epidermidis | 5/5 | vancomycin (hospital day 1–5), ceftriaxone (hospital day 1–8), clindamycin (hospital day 1–5), and acyclovir (hospital day 2–4). Doxycycline was begun on hospital day 4 and continued for a 10-day course, given concern forpossible Chlamydia or Mycoplasma encephalitis. No intravenous immunoglobulin or steroids were given. | survived |
Positive urine culture of S. epidermidis. Four superantigen genes were detected in the plasma |
Armeftis C, et al. (2023) |
46yrs/ male | Staphylococcus epidermidis | 5/5 | meropenem (1 g every 8 h), vancomycin (1 g every 12 h), levofloxacin (750 mg 24 h), clindamycin (600 mg every 8 h), IVIG (2 g/kg) and hydrocortisone (100 mg every 8 h). The patient became afebrile within the first 72 h of ICU admission. | survived | TSS caused by Staphylococcus epidermitis following an influenza type B infection. |