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A patient had vomiting and fever to 39.9 C two days ago. Today she has vomiting anf fever and loose stool ( doctor says she has hypotensive 76/48 and heart rate of 120 per min and temprature.)she had an erythematous rash. her blood, throat,vaginal specimens were sent for culture, she was given intravenous fluids and antibiotics.labratory studies indicated abnormal liver (albumin 2.9g/liter, aspartate aminotransferase(ast),76U/liter, alanin aminotransferase(alt), 95 U/liter) and renal (creatinine, 2.8 mg/dl) functions and WBC count of 14100/mm3 with 78% neutrophils and 18% band forms. The patient her menstrual period 4 days prior to admission and uses tampons.
Q1: the patient\'s symptoms are most representative of which syndrome?
2.the vaginal culture was positive for a heavy growth of catalyse positive,gram positive cocci. which organism would you expect this to be?
3. which virulence factor does this organism produce that is belived to be responsible for the signs and symptoms seen in this patient?
4.what is signifancance of tampon use in this patient?
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