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03/08/2022

All about Toxic shock syndrome (TSS

An uncommon, sometimes fatal consequence of particular bacterial infections is toxic shock syndrome. Staphylococcus aureus (staph) toxin production is frequently the cause of toxic shock syndrome, however group A streptococcus (strep) toxin production can also contribute to the disease. Anyone, including men, toddlers, and postmenopausal women, can develop toxic shock syndrome. Skin wounds, surgery, the use of tampons and other products like menstrual cups, contraceptive sponges, or diaphragms are all risk factors for toxic shock syndrome.

Causes

Staphylococcus aureus, Clostridium sordelli, and Streptococcus pyogenes are the three main types of bacteria that can result in toxic shock syndrome. These bacteria frequently exist on the skin or mucous membranes without having any negative consequences. However, under some circumstances, some bacterial strains may begin to multiply quickly and create toxins.

When using very absorbent tampons, Staphylococcus aureus bacteria may become trapped in the vagina and may then enter the uterus through the cervix. Tampons may develop bacteria, particularly if they are not changed frequently enough. When using superabsorbent tampons during light menstrual flows, bacteria may also flourish. Tampons can also result in very minor vaginal injuries that allow bacteria to enter the circulation.

Toxic shock has occasionally been linked to other Streptococcus strains, but this is uncommon. Additionally, post-surgical infections, burns, episodes of nasal packing following nosebleeds, and even dialysis catheters have all been linked to TSS.

Toxic shock syndrome signs and symptoms

· Sudden fever

· Headache

· Low blood pressure (hypotension)

· Muscle aches

· Confusion

· Diarrhea

· Nausea

· Vomiting

· Rash

· Redness of eyes, mouth, and throat

· Seizures

Risk factors

Anybody is susceptible to toxic shock syndrome. Women of menstrual age account for almost half of the cases of toxic shock syndrome linked to staphylococci bacteria; the other cases affect older women, men, and children. People of all ages can get streptococcal toxic shock syndrome.

The use of birth control methods like the diaphragm or contraceptive sponges, as well as gynaecological operations including delivery, induced or spontaneous abortions, and pregnancy are additional risk factors for women.

Diagnoses

To rule out any bacterial or viral illnesses that could produce symptoms similar to TSS, blood testing may be carried out. There will be a vaginal examination for the women. It is possible to acquire tissue cultures from the vagina or cervix for staphylococcus aureus detection. Tissue cultures may be gathered at the site of the wound for individuals who have skin infections or open wounds.

Treatment

A medical emergency is TSS. For several days, some patients with the disease must remain in the intensive care unit so that medical professionals may carefully monitor them.

Most likely, you'll receive

intravenous (IV) hydration with electrolytes and glucose from your doctor (crystalloids). This will aid in your fight against both dehydration and bacterial illness in your body. You can first handle TSS with this.

After that, your doctor will probably give you antibiotics that are right for your particular situation. Typically, antibiotics are prescribed for 7 to 14 days in the treatment of GAS infection or TSS.

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