# Staphylococcal Toxic Shock Syndrome Associated With a Cosmetic Rhinoplasty Procedure

## TL;DR

A 25-year-old woman developed life-threatening staphylococcal toxic shock syndrome after a cosmetic rhinoplasty and recovered with prompt treatment.

## Contribution

Highlights staphylococcal TSS as a rare but serious complication of cosmetic rhinoplasty.

## Key findings

- The patient developed TSS symptoms two days after rhinoplasty, including fever, vomiting, and rash.
- Methicillin-susceptible Staphylococcus aureus was identified from nasal swabs.
- Prompt treatment with fluids, vasopressors, and antibiotics led to recovery.

## Abstract

Staphylococcal toxic shock syndrome (TSS) is a rare but life-threatening condition. Here, we present a case of a 25-year-old woman who developed staphylococcal TSS following cosmetic rhinoplasty. Two days before her hospital admission, she had undergone cosmetic rhinoplasty and experienced fever, vomiting, and skin rash following the procedure. On admission, she presented with hypotension. TSS was suspected, and treatment comprising fluid resuscitation, vasopressors, and antibiotics was promptly initiated. On examination, methicillin-susceptible Staphylococcus​​​​​​​ aureus was identified in nasal swab specimens. She recovered within a few days, and desquamation was observed later. Although rare, TSS should be recognized as a serious complication of cosmetic surgeries, particularly given the significant increase in the number of such procedures worldwide.