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Harry F. Hull, MD; Jonathan M. Mann, MD, MPH; C. James Sands, MD; Stephen H. Gregg, MD; Paul W. Kaufman, MD

Arch Otolaryngol. 1983;109(9):624-626.

Abstract
• While toxic shock syndrome (TSS) is generally considered to be a tamponrelated illness, an increasing number of reported cases have been related to surgical wounds. At least one case has been reported following nasal surgery with nasal packing. We report two additional cases of TSS associated with nasal packing. Because nasal packing is in some ways analogous to the use of tampons for menstrual hygiene, and nasal carriage of Staphylococcus aureus is frequent, the scarcity of TSS cases reported to occur following nasal packing is surprising. Otorhinolaryngologists are urged to report TSS cases associated with nasal packing to their state and local health departments or the Centers for Disease Control to aid in the understanding of the pathogenesis of this disease.

(Arch Otolaryngol 1983;109:624-626)

Author Affiliations
From the New Mexico Health and Environment Department, Santa Fe (Drs Hull and Mann), St Joseph's Hospital, Albuquerque (Drs Sands and Gregg), and St Vincent's Hospital, Santa Fe (Dr Kaufman).

Footnotes
Accepted for publication March 22, 1983.

Reprint requests to New Mexico Health and Environment Department, PO Box 968, Santa Fe, NM 87504-0968 (Dr Hull).

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