Toxic Shock Syndrome (TSS)

Your Path

  • Toxic Shock Syndrome (TSS)

Sites

  • W/staph, often dont find primary infxn
  • Strep assoc w/primary skin infection or other often necrotizing site

Etiology

  • Toxin mediated, related to staph or strep
  • First noted w/hyperabsorbent tampons
  • Staph linked to menstruation, postpartum, surgical sites, pneumonia, sinusitis, super-infected skin lesions, other

Risk Factors

  • Staph linked to menstruation, postpartum, surgical sites, pneumonia, sinusitis, super-infected skin lesions, other
  • Strep assoc w/primary skin infection or other often necrotizing site

Symptoms

  • Severe illness w/fever, hypotension, confusion, target organ dysfxn (e.g. kidney, liver etc.)

Physical Exam Findings

  • Ill appearing, abnormal vitals
  • Rapid deterioration
  • Often skin primary site identifiable if strep
  • Sometimes diffuse, erythematous macular rash
  • Desquamation 1-2w after onset

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