Abstract
We present a case of probable toxic shock-like syndrome (TSLS). A 33-year-old man who had received hemodialysis for three years was admitted to our hospital for evaluation and treatment of fever, generalized erythema and shock. Because laboratory findings exhibited suspected DIC, elevation of serum bilirubin, and decreased arterial PO2 suggestive of impending multiorgan failure due to sepsis, direct hemoperfusion with polymixin B-immobilized column was performed on the day of admission. However, there was no effect. Because of sustained shock, plasma exchange (PE) was performed, promoting prompt recovery from hypotension one hour after the initiation of PE. Thereafter, the patient improved in generalized condition and was discharged after three weeks.
