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Studies on staphylococci from toxic shock syndrome in France, 1981–1983

Published online by Cambridge University Press:  19 October 2009

A. K. Melconian
Affiliation:
Laboratoire de Bactériologie, Faculté de Médecine Alexis Carrel, Rue G. Paradin F 69372 Lyon Cedex 8, France
J. Fleurette
Affiliation:
Laboratoire de Bactériologie, Faculté de Médecine Alexis Carrel, Rue G. Paradin F 69372 Lyon Cedex 8, France
Y. Brun
Affiliation:
Laboratoire de Bactériologie, Faculté de Médecine Alexis Carrel, Rue G. Paradin F 69372 Lyon Cedex 8, France
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Summary

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Staphylococci from 22 cases of toxic shock syndrome with onsets between 1981 and March 1983 have been studied. Another four cases were detected by abstract surveillance. Three of these patients died. The case histories show that the syndrome occurs in women during menstruation as well as in males and in children, and is associated with Staphylococcus aureus infections.

The production of enterotoxins (A, B, C) and toxic shock toxin by S. aureus isolates from toxic shock syndrome was investigated. Twenty-two of the 23 isolates were found to be toxigenie: 7 produced enterotoxin A, 8 produced enterotoxin B, 3 produced enterotoxin C and 13 produced toxic shock toxin. The latter was found with enterotoxin A in five cases, and with enterotoxins A and B in only one case.

Sixty-three percent of 40 S. aureus strains isolated from the vagina of patients with diseases other than toxic shock syndrome produced toxin; eight of these strains produced toxic shock toxin.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1985

References

REFERENCES

Abadie, J. C., Gouet, D., Marechaud, R.Becq-Giraudon, B. & Sudre, Y. (1981). Syndrome de choc toxique staphylococcique à porte d'entrée extragynécologique. La Nouvelle Presse Médicate 10, 3793.Google Scholar
Altemeier, W. A., Lewis, S. A.Schlievert, P. M., Bergdoll, M. S., Bjornson, H. S., Staneck, J. L. & Crass, B. A. (1982). Siaphylococcus aureus associated with toxic shock syndrome. Annals of Internal Medicine 96, 978982.CrossRefGoogle ScholarPubMed
Bartlett, P., Reingold, A. L., Graham, D. R., Dan, B. B.Selinger, D. S., Tank, G. W. & Wichterman, K. A. (1982). Toxic shock syndrome associated with surgical wound infections. Journal of American Medical Association 247, 14481450.CrossRefGoogle ScholarPubMed
Bergdoll, M.S., Crass, B., Reiser, R. F., Robbins, R. & Davis, J. P. (1981). A new staphylococcal enterotoxin, enterotoxin F, associated with toxic shock syndrome Siaphylococcus aureus isolates. Lancet i, 10171021.CrossRefGoogle Scholar
Bonventre, P. F., Weckbach, L., Staneek, J., Schlievert, P. M. & Thompson, M. (1983). Production of staphylococcal enterotoxin F and pyrogenic exotoxin C by Staphylococcus aureus isolates from toxic shock syndrome associated sources. Infection and Immunity 40, 10231029.CrossRefGoogle ScholarPubMed
Centers for Disease Control (1983). Update: toxic-shock syndrome – United States. Morbidity and Mortality Weekly Report 32, 398400.Google Scholar
Clayton, A. J., Peacocke, J. E. & Ewan, P. E. (1982). Toxic shock syndrome in Canada. Canadian Medical Association Journal 126 776779.Google ScholarPubMed
Davis, J. P., Chesney, P. J., Wand, P. J. & La Venture, M. and The Investigation and Laboratory Team (1980). Toxic-shock syndrome. Epidemiologic features, recurrence, risk factors, and prevention New England Journal of Medicine 303, 14291435.CrossRefGoogle ScholarPubMed
Davis, J. P., Osterholm, M. T., Helms, C. M., Vergeront, J. M., Wintermeyer, L. A., Forfang, J. C., Judy, L. A., Rondeau, J., Schell, W. L. and The Investigation Team (1982). Tri-State toxic-shock syndrome study. II. Clinical and laboratory findings. Journal of Infectious Diseases 145, 441448.CrossRefGoogle ScholarPubMed
De Saxe, M. J. & Rosendal, K. (1982). International committee on systematic bacteriology. Subcommittee on phage-typing of staphylococci. Minutes of the meeting 2 Sept. 1978. International Journal of Systematic Bacteriology 32, 253254.Google Scholar
De Saxe, M. J.Wieneke, A., Azavedo, J. & Arbuthnott, J. P. (1982). Toxic shock syndrome in Britain. British Medical Journal 284, 16411642.Google ScholarPubMed
El Solh, N., Bismuth, R., Allignet, J. & Fouace, J. M. (1984). Resistance à la pristinamycine (ou virginiamycine) des souches de Staphylococcus aureus. Pathologie Biologie 32, 362368.Google Scholar
Fleurette, J. & Modjadedy, A. (1976). Attempts to combine and simplify two methods for serotyping of Staphylococcus aureus. Zentralblatt für Bakteriologie, Parasitenkunde, Infection Krankheilen und Hygiene I. Abteilung. Supplement 5, 7180.Google Scholar
Floret, D., Wright, C., Fervey, L., Reverdy, E., Brun, Y. & Monnet, P. (1983). Le syndrome de choc toxique staphylococcique. A propos de deux observations chez l'enfant. Lyon Médical 250, 3540.Google Scholar
Granthil, C., Dumont, J. C. & Brun, Y. (1982). Syndrome de choc toxique à staphylocoque doré group II, producteur d'entérotoxine B. La Nouvelle Presse Médicate 11, 54.Google ScholarPubMed
Hallander, H. O. (1965). Production of large quantities of enterotoxin B and other staphylococcnl toxins on solid media. Acta Pathologica et Microbiologica Scandinavica 63, 299305.CrossRefGoogle ScholarPubMed
Letellier, N., Coulomb, F., Lebec, C., Brenet, J. M., Lababidi, A., Thery, P. & Tinel, G. (1982). Choc toxique staphylococcique. La Nouvelle Presse Médicale 11, 1080.Google Scholar
Linnemann, C. C., Staneck, J. L., Hornstein, S., Barden, T. P., Rauh, J. L., Bonventre, P. F., Buncher, C. R. & Beiting, A. (1982). The epidemiology of genital colonization with Staphylococcus aureus. Annals of Internal Medicine 96, 940944.CrossRefGoogle ScholarPubMed
Melconian, A. K., Brun, Y. & Fleurette, J. (1983). Enterotoxin production, phage typing and serotyping of Staphylococcus aureus strains isolated from clinical materials and food. Journal of Hygiene 91, 235242.CrossRefGoogle ScholarPubMed
Melconian, A. K., Flandrois, J. P. & Fleurette, J. (1983). Modified method for production and purification of Staphylococcus aureus enterotoxin B. Applied and Environmental Microbiology 45, 11401143.CrossRefGoogle ScholarPubMed
Paris, A. L., Herwaldt, L. A.Blum, D., Schmid, G. P., Shands, K. N. & Broome, C. V. (1982). Pathologic findings in twelve fatal cases of toxic shock syndrome. Annals of Internal Medicine 96, 852857.CrossRefGoogle ScholarPubMed
Rapin, M., Denfert, J. & Cabane, J. (1981). Le syndrome de choc toxique staphylococcique. La Nouvelle Presse Médicale 10, 21672170.Google Scholar
Reingold, A. L., Hargrett, N. T., Dan, B. B., Shands, K. N., Strickland, B. Y. & Broome, C. V. (1982). Nonmenstrual toxic shock syndrome Annals of Internal Medicine 96, 871874.CrossRefGoogle ScholarPubMed
Reingold, A. L., Hargrett, N. T., Shands, K. N., Dan, B. B., Schmid, G. P., Strickland, B. Y. & Broome, C. V. (1982). Toxic shock syndrome surveillance in the United States, 1980, to 1981. Annals of Internal Medicine 96, 875880.CrossRefGoogle ScholarPubMed
Reiser, R. F., Robbins, R. N., Khoe, G. P. & Bergdoll, M. S. (1983). Purification and some physicochemical properties of toxic-shock toxin. Biochemistry 22, 39073912.CrossRefGoogle ScholarPubMed
Rouffineau, J., Ducroz, B.Bauple, J. L., Poncin, E., Lhuissier, D. and Becq-Giraudon, B. (1982). Oedème pulmonaire lésionnel au cours d'un syndrome de choc toxique staphylococcique. La Nouvelle Presse Médicale 11, 676677.Google Scholar
Schlievert, P. M., Shands, K. N., Dan, B. B., Schmid, G. P. & Nishimura, R. D. (1981). Identification and characterization of an exotoxin from Staphylococcus aureus associated with toxic shock syndrome. Journal of Infectious Diseases 143, 509516.CrossRefGoogle ScholarPubMed
Shands, K. N., Schlech III, W. P., Hargrett, N. T., Dan, B. B., Schmid, G. P., Bennett, J. V. & The Investigation Team (1982). Toxic shock syndrome: case-control studies at the Centers for Disease Control. Annals of Internal Medicine 96, 895898.CrossRefGoogle ScholarPubMed
Shands, K. N., Schmid, G. P., Dan, B. B., Blum, D., Guidotti, R. J., Hargrett, N. T., Anderson, R. L., Hill, D. L., Broome, C. V., Band, J. D. & Fraser, D. W. (1980). Toxic-shock syndrome in menstruating women. Association with tampon use and Staphylococcus aureus and clinical features in 52 cases. New England Journal of Medicine 303, 14271442.CrossRefGoogle ScholarPubMed
Todd, J., Fishaut, M., Kapral, F. & Welch, T. (1978). Toxic-shock syndrome associated with phage group I staphylococci. Lancet 25 11161118.CrossRefGoogle Scholar
Tofte, R. W. & Williams, D. N. (1981). Toxic shock syndrome. Evidence of a broad clinical spectrum. Journal of the American Medical Association 246, 21632167.CrossRefGoogle ScholarPubMed