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A sacrococcygeal pilonidal abscess was identified, requiring prompt surgical drainage. The microbiological culture of abscess material was positive for an enterotoxin-producing<jats:italic>Staphylococcus aureus and Peptostreptococcus magnus<\/jats:italic>. He was free of symptoms after 4\u2009days. This case report summarises a potential severe complication of the pilonidal disease.<\/jats:p>","DOI":"10.1136\/bcr-2017-223497","type":"journal-article","created":{"date-parts":[[2018,2,8]],"date-time":"2018-02-08T12:20:28Z","timestamp":1518092428000},"page":"bcr-2017-223497","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Teenage boy with high fever and rash: what could we be missing?"],"prefix":"10.1136","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2072-8491","authenticated-orcid":false,"given":"Gracinda Nogueira","family":"Oliveira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipa Dias","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Dion\u00edsio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonor","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,8]]},"reference":[{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1992.tb07208.x"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.2","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/S0039-6109(02)00062-2","article-title":"Pilonidal disease","volume":"82","author":"Hull","year":"2002","journal-title":"Surgical Clin North Am"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.3","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1007\/s00104-017-0463-7","article-title":"[Puberty is a\u00a0major factor in pilonidal sinus disease: gender-specific investigations of case number development in Germany from 2007 until 2015]","volume":"88","author":"Ardelt","year":"2017","journal-title":"Chirurg"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.4","doi-asserted-by":"crossref","first-page":"116","DOI":"10.4103\/0974-7753.77526","article-title":"Intermammary pilonidal sinus","volume":"2","author":"Sunkara","year":"2010","journal-title":"Int J Trichology"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.5","doi-asserted-by":"crossref","first-page":"219","DOI":"10.14712\/23362936.2015.61","article-title":"Does sacrococcygeal angle play a role on pilonidal sinus etiology?","volume":"116","author":"Eryilmaz","year":"2015","journal-title":"Prague Med Rep"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.6","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1007\/BF02050828","article-title":"Toxic shock syndrome and necrotizing fasciitis complicating neglected sacrococcygeal pilonidal sinus disease: report of a case","volume":"40","author":"Velitchkov","year":"1997","journal-title":"Dis Colon Rectum"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.7","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1056\/NEJM198206103062312","article-title":"Toxic-shock syndrome in a young man with a pilonidal abscess","volume":"306","author":"Cobb","year":"1982","journal-title":"N Engl J Med"},{"key":"2025042702491978000_2018.feb07_2.bcr-2017-223497.8","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1007\/BF02049938","article-title":"Toxic shock syndrome after pilonidal cystectomy. 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