Understanding Toxic Shock Syndrome (TSS)

A Comprehensive Guide to Recognition, Treatment, and Prevention

Urgent Care

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Last updated: Mar 24, 2025

What is Toxic Shock Syndrome?

Toxic Shock Syndrome is a rare but serious medical condition caused by certain bacterial toxins, primarily from Staphylococcus aureus or Streptococcus bacteria. The condition can rapidly progress to severe complications if not treated promptly.

Key Symptoms

  • High fever (102°F/38.9°C or higher)
  • Low blood pressure
  • Widespread sunburn-like rash
  • Peeling skin, especially on palms and soles
  • Muscle aches
  • Vomiting and diarrhea
  • Confusion or disorientation
  • Red eyes, mouth, and throat
  • Headache

Risk Factors

  • Use of superabsorbent tampons
  • Recent surgery
  • Skin wounds or infections
  • Use of barrier contraceptives
  • Burns or other skin injuries

Diagnosis

Diagnosis is based on:

  1. Clinical symptoms
  2. Physical examination
  3. Laboratory tests
  4. Blood and wound cultures

Treatment

Immediate Medical Care

  • Hospital admission is usually necessary
  • Intravenous antibiotics
  • Removal of any foreign bodies (e.g., tampons)
  • Drainage of infected sites

Supportive Care

  • IV fluids for blood pressure support
  • Medication for fever and pain
  • Intensive care if needed

Prevention

  • Change tampons frequently (every 4-8 hours)
  • Use lowest absorbency tampons necessary
  • Practice good wound care
  • Keep surgical sites clean
  • Wash hands regularly

When to Seek Emergency Care

Seek immediate medical attention if you experience:

  • Sudden high fever
  • Rash resembling sunburn
  • Signs of shock
  • Severe muscle pain

Long-term Outlook

With prompt treatment, most patients recover fully within several weeks. However, TSS can recur, and prevention measures should be maintained.

Follow-up Care

  • Regular check-ups as advised
  • Monitor for recurring symptoms
  • Follow prevention guidelines strictly

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