A 20 years old girl presented with high fever, diarrhea, myalgia and widespread erythematous rash that has the appearance of bad sunburn, with subsequent desquamation. On examination he had hypotension. She gives history of recent tampon use. What is the likely diagnosis?
  1. Toxic shock syndrome
  2. Necrotizing fasciitis
  3. Herpes zoster
  4. Shingles
Explanation
Answer- A- The likely diagnosis is toxic shock syndrome which occurs in females due to tampon use. Its characteristic features are high grade fever, myalgia, diarrhea and widespread erythematous rash. It is caused by staphylococcus aureus.
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