{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:40:05Z","timestamp":1756276805662,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,27]]},"abstract":"<jats:p>Use of Kirschner wires (K-wires) is the most common method of fracture stabilisation in lateral condyle fracture fixation in children. We report a case of toxic shock syndrome (TSS) following an open reduction and internal fixation using K-wires for a humeral lateral condyle fracture in a 5-year-old girl. TSS is a toxin-mediated multisystem illness. It typically presents with shock and it is most often attributed to toxin-producing strains of <jats:italic>Staphylococcus aureus<\/jats:italic> and <jats:italic>Streptococcus pyogenes<\/jats:italic>. It can lead to multiorgan failure and, ultimately, death. It is important to be aware of TSS, as it can present within any setting. Patients often have non-specific symptoms and their condition can worsen rapidly. TSS postorthopaedic surgery is rare; however, due to the serious nature of this disease, it is important to promptly recognise and diagnose TSS, and to ensure appropriate treatment is started without delay.<\/jats:p>","DOI":"10.1136\/bcr-2015-210090","type":"journal-article","created":{"date-parts":[[2015,8,11]],"date-time":"2015-08-11T10:09:12Z","timestamp":1439287752000},"page":"bcr2015210090","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Toxic shock syndrome post open reduction and Kirschner wire fixation of a humeral lateral condyle fracture"],"prefix":"10.1136","volume":"2015","author":[{"given":"Yuen","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedics, Alder Hey NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veenesh","family":"Selvaratnam","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Alder Hey NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neeraj","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedics, Alder Hey NHS Foundation Trust, Liverpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,8,11]]},"reference":[{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.1","DOI":"10.1097\/BPO.0b013e318257642a"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.2","DOI":"10.1308\/003588412X13171221592375"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.3","DOI":"10.1007\/s00264-011-1452-y"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.4","DOI":"10.1016\/S1473-3099(09)70066-0"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.5","DOI":"10.1016\/S0140-6736(78)92274-2"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.6","DOI":"10.1016\/S0020-1383(99)00142-4"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.7","DOI":"10.1016\/S1058-2746(99)90012-5"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.8","DOI":"10.1097\/BPO.0000000000000208"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.9","DOI":"10.1302\/0301-620X78B6.1289"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.10","DOI":"10.1016\/0020-1383(87)90063-5"},{"doi-asserted-by":"publisher","key":"2025082623235650000_2015.aug11_1.bcr2015210090.11","DOI":"10.1097\/00007632-199405001-00018"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210090","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:24:05Z","timestamp":1756275845000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8,11]]},"references-count":11,"alternative-id":["10.1136\/bcr-2015-210090"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210090","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,8,11]]}}}