Saturday, August 18, 2018

Repeated USMLE Questions Step 1- 227

A 10-year old girl is brought to the emergency room presenting with a fever over 102F for 5 days, watery diarrhea, myalgia, diffuse erythroderma, conjunctival infection, blood pressure of 105/45 mm Hg, and a strawberry tongue. The girl is also having moderately elevated levels of hepatic transaminases.

What would be the best diagnosis for the patient?

A- Toxic epidermal necrolysis

B- Kawasaki disease

C- Toxic shock syndrome

D- Stevens-Johnson syndrome


Toxic shock syndrome is a rare and life-threatening condition that can develop as a complication of certain bacterial infections. Usually, toxic shock syndrome results from the toxins produced by Staphylococcus aureus bacteria. Major symptoms of toxic shock syndrome include a sudden high fever, diarrhea, vomiting, low blood pressure, confusion, redness of the eyes, throat, and mouth, rash on the palms and soles, seizures, etc. While mostly, toxic shock syndrome is generally associated with infected tampons left in the vagina during periods, it can also happen in children, and it is absolutely necessary that it is caught and diagnosed in a timely manner to avoid life-threatening complications.

The correct answer is C

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