Which type of bacteria is responsible for food poisoning and toxic shock syndrome

Print

Overview

Toxic shock syndrome is a rare, life-threatening complication of certain types of bacterial infections. Often toxic shock syndrome results from toxins produced by Staphylococcus aureus (staph) bacteria, but the condition may also be caused by toxins produced by group A streptococcus (strep) bacteria.

Toxic shock syndrome can affect anyone, including men, children and postmenopausal women. Risk factors for toxic shock syndrome include skin wounds, surgery, and the use of tampons and other devices, such as menstrual cups, contraceptive sponges or diaphragms.

Products & Services

  • Book: Mayo Clinic Family Health Book, 5th Edition
  • Newsletter: Mayo Clinic Health Letter Digital Edition
Show more products from Mayo Clinic

Symptoms

Possible signs and symptoms of toxic shock syndrome include:

  • A sudden high fever
  • Low blood pressure
  • Vomiting or diarrhea
  • A rash resembling a sunburn, particularly on your palms and soles
  • Confusion
  • Muscle aches
  • Redness of your eyes, mouth and throat
  • Seizures
  • Headaches

When to see a doctor

Call your doctor immediately if you have signs or symptoms of toxic shock syndrome. This is especially important if you've recently used tampons or if you have a skin or wound infection.

Request an Appointment at Mayo Clinic

Causes

Most commonly, Staphylococcus aureus (staph) bacteria cause toxic shock syndrome. The syndrome can also be caused by group A streptococcus (strep) bacteria.

Risk factors

Toxic shock syndrome can affect anyone. About half the cases of toxic shock syndrome associated with staphylococci bacteria occur in women of menstruating age; the rest occur in older women, men and children. Streptococcal toxic shock syndrome occurs in people of all ages.

Toxic shock syndrome has been associated with:

  • Having cuts or burns on your skin
  • Having had recent surgery
  • Using contraceptive sponges, diaphragms, superabsorbent tampons or menstrual cups
  • Having a viral infection, such as the flu or chickenpox

Complications

Toxic shock syndrome can progress rapidly. Complications may include:

  • Shock
  • Renal failure
  • Death

Prevention

Manufacturers of tampons sold in the United States no longer use the materials or designs that were associated with toxic shock syndrome. Also, the U.S. Food and Drug Administration requires manufacturers to use standard measurement and labeling for absorbency and to print guidelines on the boxes.

If you use tampons, read the labels and use the lowest absorbency tampon you can. Change tampons frequently, at least every four to eight hours. Alternate using tampons and sanitary napkins, and use minipads when your flow is light.

Toxic shock syndrome can recur. People who've had it once can get it again. If you've had toxic shock syndrome or a prior serious staph or strep infection, don't use tampons.

By Mayo Clinic Staff
Request an Appointment at Mayo Clinic
Diagnosis & treatment
March 18, 2020
Print
Share on: FacebookTwitter
Show references
  1. Kellerman RD, et al. Toxic shock syndrome. In: Conn's Current Therapy 2020. Elsevier; 2020. https://www.clinicalkey.com. Accessed Feb. 6, 2020.
  2. Toxic shock syndrome. Merck Manual Professional Version. https://www.merckmanuals.com/professional/infectious-diseases/gram-positive-cocci/toxic-shock-syndrome-tss. Accessed Feb. 5, 2020.
  3. Nonfoux L, et al. Impact of currently marketed tampons and menstrual cups on Staphylococcus aureus growth and toxic shock syndrome toxin 1 production in vitro. Applied and Environmental Microbiology. 2018; doi:10.1128/AEM.00351-18.
  4. Cohen J, et al. Dermatologic manifestations of systemic infections. In: Infectious Diseases. 4th ed. Elsevier; 2017. https://www.clinicalkey.com. Accessed Feb. 5, 2020.
  5. The facts on tampons and how to use them safely. U.S. Food and Drug Administration. https://www.fda.gov/consumers/consumer-updates/facts-tampons-and-how-use-them-safely. Accessed Feb. 6, 2020.

Related

Associated Procedures

  • Urinalysis

Products & Services

  • Book: Mayo Clinic Family Health Book, 5th Edition
  • Newsletter: Mayo Clinic Health Letter Digital Edition
Show more products and services from Mayo Clinic

Toxic shock syndrome

  • Symptoms & causes
  • Diagnosis & treatment

Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.

Advertising & Sponsorship
  • Policy
  • Opportunities
  • Ad Choices

Mayo Clinic Press

Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.

  • Try Mayo Clinic Health Letter - get FREE book
  • NEW - Back and Neck Health
  • Mayo Clinic on Digestive Health
  • NEW - Live Younger Longer
  • Simple, effective Home Remedies
CON-20245743
  • Patient Care & Health Information
  • Diseases & Conditions
  • Toxic shock syndrome