Toxic shock syndrome
Syndroma shock toxici · Syndrom toxického šoku
What it is
Toxins from Staphylococcus aureus or Group A streptococcus switch on the immune system all at once, causing fever, rash, collapsing blood pressure and organ failure within hours; linked to tampons, wounds, burns and nasal packing.
Symptoms & signs
- Sudden high fever
- sunburn-like rash, later peeling of palms and soles
- vomiting, diarrhoea
- low blood pressure, dizziness, confusion
- red eyes, mouth and vagina
- muscle pain
🚩 Get help if…
- call 112 / 911 now High fever with a sunburn-like rash
- call 112 / 911 now Dizziness, fainting or confusion with fever
- call 112 / 911 now Fever and vomiting or diarrhoea while using a tampon or with a wound
Where it strikes
Medical treatment
- Remove the source — tampon, packing, drain the wound
- intravenous fluids and intensive care
- Antibiotics with clindamycin added to stop toxin production trials support
- intravenous immunoglobulin in severe streptococcal cases — trials small
- surgery for necrotising infection
Natural & lifestyle
- Change tampons every 4–8 hours, lowest absorbency needed
- no tampon or menstrual cup overnight past the recommended time
- wound hygiene
Emerging & experimental
- Antitoxin antibodies
- vaccines against staphylococcal toxins
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Natural or 'organic' tampons prevent it — cotton and rayon tampons carry the same risk in laboratory tests not confirmed in trials
- Homeopathy — no role in an emergency anecdotal / traditional
ICD codes
- ICD-10 A48.3
- ICD-11 1C45.Z Toxic shock syndrome without specified infectious agent