Diagnosis of nonmenstrual staphylococcal toxic shock syndrome (TSS) is often challenging. A female medical colleague had a rare entity, a staphylococcal pharyngitis complicated by TSS. The diagnosis was confirmed by isolation of tst-positive Staphylococcus aureus in throat culture and by identification of a specific Vβ2 expansion pattern of her T lymphocytes. Recent improvements in microbiology can be of great help for the diagnosis of nonmenstrual TSS.
Andrey, D. O., Ferry, T., Siegenthaler, N., Fletcher, C., Calmy, A., Lina, G., & Emonet, S. (2015). Unusual staphylococcal toxic shock syndrome presenting as a scarlet-like fever. New Microbes and New Infections, 8, 10–13. https://doi.org/10.1016/j.nmni.2015.08.002