Toxic Shock Syndrome (TSS) - Basics & Causes - WebMD

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Some signs and symptoms of toxic shock syndrome to look out for ... if you've been using tampons, you must get medical help right away. MenuMedicalReferenceNewsArchiveNewsReferenceSlideshowsQuizzesVideosQuestions&AnswersFindaDoctorSubscribetoNewslettersScreening&TestsDiet&ExerciseRest&RelaxationReproductiveHealthHeadtoToeADHDinWomenBingeEatingDisorderBirthControlBreastCancerEndometriosisFertilityInfertilityMenopauseManageYourMigraineOsteoporosisPMSUterineFibroidsMoreRelatedTopicsWomen'sHealthGuideMenuMedicallyReviewedbyHansaD.Bhargava, MDonSeptember22,2020InthisArticleWhatisToxicShockSyndrome?ToxicShockSyndromeSymptomsToxicShockSyndromeCausesToxicShockSyndromeDiagnosisToxicShockSyndromeTreatmentWhatisToxicShockSyndrome?Toxicshocksyndromeisasudden,potentiallyfatalcondition.It'scausedbythereleaseoftoxinsfromanovergrowthofbacteriacalledStaphylococcusaureus,orstaph,whichisfoundinmanywomen'sbodies.Toxicshocksyndromeaffectsmenstruatingwomen,especiallythosewhousesuper-absorbenttampons.Thebodyrespondswithasharpdropinbloodpressurethatdeprivesorgansofoxygenandcanleadtodeath.Thisdiseasemadeheadlinesinthelate1970sandearly1980safterthedeathsofseveralyoungwomenwhowereusingabrandofsuper-absorbenttamponthatwaslaterremovedfromthemarket.Toxicshocksyndromeisstillmostlyadiseaseofmenstruatingwomenwhousetampons.Butithasalsobeenlinkedtotheuseofmenstrualsponges,diaphragms,andcervicalcaps.Awomanwhohasrecentlygivenbirthalsohasahigherchanceofgettingtoxicshock.Anditcanhappentomenandwomenwhohavebeenexposedtostaphbacteriawhilerecoveringfromsurgery,aburn,anopenwound,ortheuseofaprostheticdevice.Morethanone-thirdofallcasesoftoxicshockinvolvewomenunder19,andupto30%ofwomenwhohavehadthediseasewillgetitagain.Ifyouhaveeverhadtoxicshock,youmustlookoutforthesymptomssoyoucangetimmediatemedicalcare.Peoplewhodiefromtoxicshockarekilledbythebody'sresponsetothetoxinsreleasedbystaphbacteria.Mostpeoplesufferhypotensiveshock,inwhichtheheartandlungsstopworking.ToxicShockSyndromeSymptomsSomesignsandsymptomsoftoxicshocksyndrometolookoutforinclude:AhighfeverthatspikessuddenlyLowbloodpressureThrowinguporfrequent,waterystoolsArashthatlookslikeasunburn,especiallyonyourpalmsandbottomsofyourfeetConfusionMuscleachesRedeyes,mouth,andthroatSeizuresHeadachesIfyou’remenstruatingandhaveahighfeverwithvomiting,especiallyifyou‘vebeenusingtampons,youmustgetmedicalhelprightaway.Ifyou’reusingatampon,menstrualsponge,diaphragm,orcervicalcapwhenyougetill,removeitimmediately,evenbeforecallingyourdoctor.ToxicShockSyndromeCausesToxicshocksyndromeiscausedbyapoisonproducedbyStaphylococcusaureusbacteria.Thisbacteriaisoneofseveralstaphbacteriathatcauseskininfectionsinburnpatientsandhospitalpatientswhohavehadsurgery.Staphisnormally--andharmlessly--presentinthevagina.Doctorsdon’tknowhowstaphcausestoxicshocksyndrome.Buttwoconditionsarenecessary:First,thebacterianeedanenvironmentinwhichtheycangrowrapidlyandreleasepoisons.Thenthepoisonsmustgetintothebloodstream.Atamponsaturatedwithbloodisasupportiveplaceforrapidgrowthofbacteria.Italsoseemstomatterwhatthetamponismadeof.Polyesterfoamprovidesabetterenvironmentforthegrowthofbacteriathaneithercottonorrayonfibers.Insomecasesresultingfrommenstrualsponges,diaphragms,andcervicalcaps,thedevicehadbeeninthevaginaforalongtime--morethan30hours.Inthecaseofspongesalone,piecesofthespongeremainedinthevagina.Thewayinwhichbacterialpoisonsenterthebloodstreammayalsoberelatedtotamponuse.Slidingatamponintoplacecouldmakemicroscopictearsinyourvaginalwalls,rupturingtinybloodvessels.Leavingasuper-absorbenttamponintoolongorusingitwhenyourflowislightcandryoutyourvagina.Thismakestearingevenmorelikely.Researchersinvestigatingtoxicshocksyndromecauseshaveruledoutfemininedeodorantspraysanddouches,underwear,andotherclothing.Theconditionisalsounrelatedtoyourmenstrualhistory,drugoralcoholuse,cigarettesmoking,swimmingorbathing,orsexualactivity.ToxicShockSyndromeDiagnosisThereareseveralwaysthatdoctorstestfortoxicshocksyndrome:Testbloodandurinesamplesforastaphorstrepinfection.Takeaswabofyourvagina,cervix,orthroat.UseaCTscan,lumbarpuncture,orchestX-raytoshowiftoxicshocksyndromeisaffectingotherorgansinyourbodyToxicShockSyndromeTreatmentIfyouhavetoxicshocksyndrome,you’llmostlikelyneedtogotothehospitalwhereyoucouldreceive:AntibioticsMedicineforlowbloodpressureFluidtoreplaceyourbody’slossofwaterOthersupportivecareNextArticleSymptomsofToxicShockSyndromeWomen'sHealthGuideScreening&TestsDiet&ExerciseRest&RelaxationReproductiveHealthHeadtoToeTreatingRAWithBiologicsManageYourMigraineHowOneWomanManagesHerMSGetTheProteinYouNeedVaginaQuiz:WhatDoYouKnowAboutDownBelow?YourGuidetoUnderstandingMedicareWhatAretheSymptomsofToxicShockSyndrome?TheBasicsofToxicShockSyndromeHowCanYouTreatandPreventToxicShockSyndrome?ToxicShockSyndromeTreatmentStaphInfections:Symptoms,Stages,Causes,Treatment,ContagiousnessAForeignBodyintheVaginaDoINeedSinusSurgery?ToxicShockSyndromeTopicsQuiz:HowtoPreventYeastInfectionTestyourknowledge.UrinaryTractInfectionsWhatcausesthem?WhichBirthControlIsRightforYou?Learnaboutyouroptions.8CausesofNightSweatsIsitmenopauseorsomethingelse?Slideshow15WaystoIndulgeYourselfVIDEOSymptomsofToxicShockSyndromeAssessmentQuitSmok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