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Year : 2022  |  Volume : 46  |  Issue : 1  |  Page : 44-49

A confirmed case of menstrual cup-associated toxic shock syndrome: A Philippine perspective

Department of Obstetrics and Gynecology, ManilaMed, Manila, Philippines

Correspondence Address:
Andrea Francesca I. Santos
MD, Department of Obstetrics and Gynecology, Medical Center Manila, 850 United Nations Ave, Paco, Manila
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/pjog.pjog_8_22

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Menstrual toxic shock syndrome (TSS) is a severe, fatal, superantigen toxin-mediated illness, which leads to multiorgan system failure early in its course. At the time of writing, there are no local data available on menstrual cup-associated TSS. Reported is a 30-year-old healthy Filipino, diagnosed as a case of menstrual cup-associated TSS. Diagnosis was confirmed by case definition criteria and supported by vaginal discharge culture of methicillin-resistant Staphylococcus aureus. The patient was treated empirically with antibiotics that led to successful treatment outcomes with no recurrence. At present, when women empowerment is of utmost importance, we support women's decisions pertaining to their health, including their choice of menstrual hygiene products. This case is reported to raise awareness, promote wellness and safety among menstrual cup users and to educate clinicians on the course and management of menstrual cup associated toxic shock syndrome to prevent its catastrophic sequelae.

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