Toxic-Shock Syndrome Associated with Diaphragm Use

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Abstract
To the Editor: In response to the letter of Hymowitz in the October 1 issue,1 we would like to report a case of toxic-shock syndrome associated with use of a diaphragm.A 23-year-old woman presented to the emergency room with an eight-hour history of fever, vomiting, and diarrhea. Her most recent menstrual period, during which she had used tampons, had ended two weeks earlier. Two days before presentation, she had inserted a diaphragm, which she was unable to remove. Physical examination revealed an oral temperature of 38°C (100.4°F), blood pressure of 96/60 mm Hg, and a heart rate of 120 . . .

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