Toxic shock syndrome complicating neglected pilonidal abscess: A case report

Toxic shock syndrome is an uncommon disease associated with staphylococcal infection. Although primarily a disease of menstruating females using tampons, toxic shock syndrome has been described following many types of surgical procedures, including pilonidal cystectomy. In this report we describe a case of toxic shock syndrome associated with an unusual focus, a pilonidal abscess, not following any surgical procedure. Although the patient was treated with an appropriate antibiotic, only surgically opening of the hidden pilonidal abscess prevented a catastrophic result. This case serves as a clear reminder that neglected simple infected foci can lead to unusual life-threatening consequences.