Plast Reconstr Surg. 1995 Dec;96(7):1702-8

Toxic shock syndrome as a complication of breast prostheses.

Poblete JV, Rodgers JA, Wolfort FG.

Division of Plastic and Reconstructive Surgery, New England Deaconess Hospital, Boston, Mass, USA.

A case of a 21-year-old woman who developed toxic shock syndrome 6 days after augmentation mammaplasty with saline breast implants is reported. The infecting organism was S. aureus that was toxic shock syndrome exotoxin 1-negative and staphylococcal endotoxin B-positive. The causes and etiology of this rare postoperative complication are discussed.

Aesthetic Plast Surg. 1998 May-Jun;22(3):180-4.

Toxic shock syndrome in plastic surgery patients: case report and review of the literature.

Holm C, Mühlbauer W.

Department of Plastic and Reconstructive Surgery, Klinikum Bogenhausen, Academic Teaching Hospital, Munich, Germany.

Toxic shock syndrome (TSS) is a rapidly developing disease, which may be lethal if not recognized and treated early. TSS unrelated to menstruation comprises an increasing proportion of the cases reported to the Centers for Disease Control during recent years, and a review of the literature reveals that TSS has is reported with increasing frequency in plastic surgical patients as well. The majority of reports relates to aesthetic plastic surgical procedures such as rhinoplasty, augmentation mammaplasty liposuction, and chemical peeling, but cases of TSS following reconstructive breast surgery with musculocutaneous flaps have also been reported. A common denominator seems to be that TSS occurs unexpectedly in healthy patients. Nonmenstrual TSS is apparently associated with a higher mortality rate than TSS associated with menstruation. We report on a case of TSS after exchange of silicone implants and resection of a siliconoma in a 59-year-old woman. Details of the case and a review of the literature are presented.

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