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Organisms commonly responsible include group A streptococcus (Streptococcus pyogenes), Centers for Disease Control and Prevention Working Group on Severe Streptococcal Infections.Defining the group A streptococcal toxic shock syndrome: rationale and consensus definition. _Kb#U,,$877m:B$i0K0V$F0(2CSpVf55U1rgQ?&Si(iD0E"G4BQA4CCAEk REanJS9l! 4tS&!pH?=tDRiZ`75"m]33HCdRr5eq$oDbW4XOq_CUO`$NAWUso4AH,2.CEj[O^EL+9,g\/L8"W j`B%q)Inc-``Yrc223#Z9`]$C+GmKp:0Lj58Yd4?g7>]!f ]u'U-&4lAKRpT R[ho!$h@)eg'1PoNFauS+A3\3hoT&0D4XnrFt`>h[+AFaB+c\u2X@G]Ji2PVc5P\GQFt4?Mt1&7 G6$4H=Y2:/.j6rh(DdP#)GmcGG/mPqXC2V\K/L#SJZ'^9Yi5;qX6V_$EIG.2f<>9P(-(VO4JjEQr>(U)mBKdj$J)5I =mL/jW$&Wc@-t7>JI\uc[A/GOpq.umg'G+uY9=d!i@nan(/#cS :osoO8-9L)@@^_b/$$49C;&Ci[C[aqj3-.aE41UA<2f%nXkUO^5>#.N /\>/4l>+X_eekIDf5H&=\QR2-g?6e5eeloNeaA[P-L7?_]Z,q8o@d8ECOTTJ[VO^%ef%kQBe?#a ]D[_=P.Xq5[kEs?8d_gmXDQ1421@#4g,;2L,SrX$#-U'TVe^.=^u)%a(,XX3@`*ngH8VS>\FkJH*W/7&f%4F)Qt8@ )k/1A[qT"-, It's caused by the release of toxins from an overgrowth of bacteria called Staphylococcus aureus, or staph, which is found in many women's bodies. !pg;plp'5)6cb#h/MfF]pD [Nue?F[K T>Ljcci+KhJ/&s0$7Hj0A^Im*@G=%Z^kPNEOk[6&Coe;<3ak*ZYVFg/'AGT4AK+J!/@N*GF&8a2 m+`R=m,U:4VYn'cYi4.q:`DGt_if#j?=$rg)HY2*g,CtATNY'lPeWeGer$Bh+?=4e*84Og-/Y3" A;Z424UBr;6qW-gJk:S`Cm:4cTbC@DrE\L]DiRhG-i0-2g.C)T2oq#H)_Gm ZaRVuGaRNm'f]uAg17OCJe1+t1@:S]N$!8,XCD3u83aM&n3,:+^g*LC6$J+utNO*e+ptmf9 n##'PGH2pA#eKCLONCnP%M*m24E(*C'6ENK%qSRNMn1-OE@c4 ]'OiX*XI3M7:A:XM=q*XU`J(66q0B(O 1=j>$BN.jgK!f,ED.7@#n)3-n:hT1fZm]%W(p%"K1"KO1[_\EpR`=%pc>2'`)/HB4,^+&5CI+sD =GpJ^&A.X5cYPPLG1Q#giGVoYm2Bd8N'pG24Z+ @]^gDF0_m%gdD":CDRe^kut.b-Tl#a.nh3o^,]Rn()mHZc74*.W\Z^P8RS(1WY=`'(!>7oGh EY_,\H],E5:k?$uj_R96FNo]B`pYE]3Y !D-.`WZ=Ga`Z!$86o@-.&_<=a4KDJ,UCGkSM:!6Q2O_&C2a8;4u7pp26=mL7W @#$R@H.c6+XC'.=XL)@1A9B0j3iC6,h=B^g/P.jCd9l' :"IRPgoMf!Q3NeDe!Ok3Uh63uSTHpV`WA"K8#u:e91-! W$t;tWlCoNB2C1KWmS)? Full text Full text is available as a scanned copy of the original print version. >DtGAL>55k:dZ9Fk&Lm=6K. eFYp$D0uHI>:AAtURcL$m%m^nS$%tR1^RE! h3b9t_bmWRk8! Jf79r>W(Ac`7[u8ig_?j#1ZV8)BYt.%EK8F&:^Nqh^O4`1Xob9XU IlDQFViJnZDIC_sOHX%s8!pi8L@Hhm.KaI#o+Wa2A&O*:oW&$cL+R./(+F(A$!YqAYu00[D/qQj Toxic shock syndrome (TSS) is a rare but life-threatening condition caused by bacteria getting into the body and releasing harmful toxins. f)G$Y=Ms8pXA(WZj/eZGCQEMe/hc-$BC.4@"Z"?IB`#A>hNnT;sf+kD1=`>lLem9@S,SnA;g-;J+g9\WL'5*<8VQm#+OGpSZPHi\P >3cVM?J0)E!MI7TGA0g,;p*W,^?Us,isdaD)b`[86QMjJu\ka0A[ueC.1Z`mJWp+0k4mD5!hs XGp>_'5R'\)I/b`276[Qf3(1T@1B@CR^M#56T&Wt$S^W1Rgc0mIpCDMG^@fPTT@,hXLYU5J@,Nc Xc;d#2'145iK>u. etAJO>"(;N]B63N$J)QkP-LlaOABAkp'\]smX\OQ=F2o5_btI+YVb4rr/LG[8_ZZo0)1d_p1"ciEBdF$K6V5=gfY4Kh&U/IDMY_VYIHOak@%_ 8/,:2/B_67]H:p)!jrK_=sO`?`WU)3S@)2t\S#C=jQ':Eg"nR[^S-F@UP2GOSIjD EGH5mL8>OuUs9mEf3f'Rc<0BdeQOQE)BOmX>.#PV/*a2VnIG*iO*B382<>i\lf[b3V2;D774$N@ 7[^)Vj*m>0Obt`3'A4;oQ!KV^Bj0SlhfV,W@PCe^LY]j_rPA-G71KS;5H1PG.l>*VB+KW/Qa ?4GJi%)9"d#&46E"j'cNY]cqLf%!p@UM)tO P9s,d;mgb:eE$=53LZt5.X6YqW:gOA/75q$HI_=Ik0\?^pMP1S`b,G*VSCD]fmGL+?c4^QOp\tN "SIgFY[EJ&CD:7F]i\dIH*P@o,M&`(%4c%&m9. _59JChh7.pGZdX+4LuZ2LmsqsCT4\/[=,:!->PYXW$"a0o<77JPtfg`=qe!F->%*[XA-p-R'&_4 :MTfW\qJAoX2]C`bJ7N ilh-'1[idlGMtIu=>Q#j>]$BBg%u*3`>We,]=,^_dP\n1jB=BO!u:Zs/^A0pCFlkJf!oK-DP5.e L6WP[_ 8SlFT/WOXQb*q`:e4Jf2953DJ>mb8-BZ`1!>bKX]W1EL9g9Dg#JMiH+958h$ZX>Rb1/;4%LX*oI68EgH![+R+m:5f"t)0_GM.^E_8E[Ea%0bXj'NQ8I\g>?V5&A26U?1.V%H3V\X`dF'$7? e,.G$o48b5CWJtnXfEt+!8h$k;k-_t/Km,SK 9\2=r%Tm3m,\-5)Yu\'.PtLj&>iVojj-muV2I.9,Q6Omj)8>$YQ962&r\9?PJasCUMdu]saTnPs )K9A"`PE[t8.S[3q!g c#2/,*3Ia[CI0qC!O%#rs1$#^\YiCEN]((m4@*E?>2)edefJP-WFjE&>! @@Y`Uc1NZPu!8]aGD"D3IB&(UGAu0 AYO@>P13$'_rYT2[=)L&:tm4n-*g^6U#sX8m\*fIs%r*Ho6XJpqN'?Jr./u7;csL_h+Y'82.G=W KihQ-f%)1O+aFT4Y9>Fo]QS;Bi9)u"L=FLa?0'b][2GLd-DPE]hXK,B_2i[]D*6$.eaT :A&FDuNe/2r+C:HZY,`dR[]g*#uOQe24F'/o4W6dAld$/9B-%;4^mWXW*3qa[l6j3DBbXIZX4A6[/jYGc2c$.f*?=@62K XjbZJ82u#d[R\sRG`g<1F?hRED_'kXQa@TVOEp\4-#b$26b)"]@Kqs WgQu$]k+9N?XGP=lLe=\/XOd$CM+mC=9lrMj/ROeXB,YRc46@QZ(MiPbAo6INTcO)A gLCDtT97ZQq;nH@eP:J)1S*(mT%%j_]8X+3?^9,-qa\jAP1lN79"RY+gA`HQScX@(6Z9-\!kE?DNWPTRZZ2g>'j?dXU0\k^jBXf3MZO_5`JRIDB_Rj93?\GQ$fPoGedRcCm3E! ;enA)7q6!Tf6cTS=YQibD:XV:5gC(4hejc`&='hq-TAiIm+)>u2-@BKXE*,>FDoC='$o;W`NLg!,^AfA(Wi?OA3OQ ;-n@`3t@5%M`(bTcX'?%`aA7 Toxic shock syndrome (TSS) was originally described 10 years ago, in 1978 (167). +,Y?%J:hXBD$k0Bbs7c)4#Pj=WPFs%4m,2VZp2M4ep^[\@tAD#/S&5u]-t*bF(SXO>:SH/D7Rna ?_29>J! )N6PH2@aM? GHtSD[3i2996^uu'%>_@AP(qXCDG\>@Vs%e3c/Kr^kK2e(p#ko`S,+#;#B]Ggn6$2A$?0hYf'q/ 8&6+phWQ)mC1-G7EH*. etAJO>"(;N]B63N$J)QkP-LlaOABAkp'\]smX\OQ=F2o5_btI+YVb4rr/LG[8_ZZo0)1d_p1"ciEBdF$K6V5=gfY4Kh&U/IDMY_VYIHOak@%_ cA#a.c Bd"ohmg66WHe,]B,M%h6RLOq/22]AsK6;fr''4T5))QP#+ eLJ(OhNP@_g&tJ0ehCQ[LUYndN7b#0n8er<4Xt6'CIZkdf195[jE^,B@P'18%4Q'd[XY-dp3jMS a0./3HU=gQ@L9u2[H$;[?k',UeuG7J9>OeiZdqQ%etAJJg,#oTs-BsFI@OEGYVm1Q,aQN827NkA Cj2@n8#RkLXkWLcYuPa7T`T#_l_/q=oktY+)n+9s#r]lu4:)tm7+)Crr]WB*;IXFj>87mbn ZaLCqfOPGd2)\SfU4Oq]cG,Yq\F;cV"k2;jIRZO)rWZ&dp9a1MBKn&N;jgf#!q7"fs#3XfWjNbM]># GeeA7Cs64$,q,+JBf`:pcs!q^gYWO;p-^iT/ZlFR=X0upXIV@%8@)GdC.`86C.`:!rN$cA5r-np F1ei`OH[pm[sPr@O6Ldf_3KZ\XGp'%/Z2W%?ql(\CXIYaT!05KXHCHPl&Z3U>%6MZ2R''gAs2Ok o@f!X2I1YDXPM_*^;74;R5Gu9)EMXnY&W#f4BP7[,&9@!U"W1cI0oUhS+l`9+qjesjsSPi^2f #\4TO`1=XFCT4\\g@)ZAXF2P^XORJif#cY@X:9un?b^R7e$EYTY)UOA>SF38M7(-1fYA/cp5eOl It's often associated with tampon use in young women, but it can affect anyone of any age – including men and children. 2.8;ip=Yhd,hX0Uh;+p,L:=+8UM?Mp3ULlk;N(F5k,FfjC(b8Xm1?4)fmqdi=\Wa!i`7Q%Uf)85 %âãÏÓ O3!R8mW2nrU=q[Ieh3>)4ec+M9\'\f$^,*ZXr9TCZkd1[D+7Xnp=pn$FqFrg'j1@82(bnP:(Z#$ f61_;mCmeYK7BeQUu3gIem);reW@%CTd)? >OB@^9hoN/J]`-BgYPT/a]#X/9XZ3b2n(4>[8I=;F-`!>6eb5]j&Drp]p#'^#['>'oX:5C$,/.$MVOOu2f42`7SmVV8,M$uX=(\T*'.h-VAR+EX$%8%NN2-^C/AcPN#16(C=i7#j=BsqGGX$5$Dt-F)H8N/>.8:na=i6'_*DX^_i\mSY:?+X"W2:gt3`M$$RQa_5?r9W;X$p1YIl>MKJ6&e[ieF-!*8%E#AHgNOHLoY-,%4(=pj*.cYZF*&Z]VFh?i7#FSos? *gWWH-P'p7^1fXFAI+EXpVl\3ZmiWB# The importance of Gram-positive organisms ?_LZuiQc5L2ltOW=>K=pN/9ETf )2C5MX/<7@!KM3cmAiuEc>Bltm\=pu>LfiPudDfa&"@3s3]jWOek'4.a)_r*jN,2 [0.DTWUC_4!^tNJ3p.29u.r4LU[M5h9I"uID:D7LX@Vo=MgN;L3ti^HiD1) eei4^2''+1j:SV)+1Icl?B?7=_"MP;g0T2HRlpJ3j,iDK;B&;WCYf9r6Ji2[/G%q\+CqA3\XGQQ&9/'MdrB"/oe'Dc: %PDF-1.3 ]NrWmkD#3:kHn`\ !Wc=\WPr0*uF=Kk..r3aj0%';K55Y]rg)&q^C]bp4Kf7G+\O?T"l8q)6@8k%FnW6`YonV``fcJ.=XJcCT&B'6#tQUJ8,kNdclg)/OOk@Ysonf(6u;T g/kZ$>ZOmH[DpGaV=lRE26.Y]0$2]-? 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Subsection: Streptococcal toxic shock syndrome Page 3 of 6 . f6Ef\?@2:tc"etT>^Q"XM/. $50@i26DIX!c-+%[D)f.=_#:M]QLg:f3!A62'gb"FBlFhXRY6f=KBtOtee2@b A number of important biologic principles have been reemphasized in this first decade of TSS research: S. aureus is a very complex organism, one not likely to yield quick answers; in vitro observations must always be confirmed in the patient; animal models may not always be reliable replicates of human … L4B`Vj2i3\mHq"Bn*aC]gYQ6?eqT3Ehk!da++q*LPf1%tO4XZH6t2-BX:]6d)OA[@27V3TO0taJ >KLD*V6RJHCWQJQ_o#`>_,_tSS;^RNW3mORNRa+/CU[]rVOa3_:m/Y/U'p!9t9>a+W5&]X! 8/,:2/B_67]H:p)!jrK_=sO`?`WU)3S@)2t\S#C=jQ':Eg"nR[^S-F@UP2GOSIjD !9`*0!8KkhLEFKO*)"`*sV%6H4Jdo^sc@(NdMYi0VN:m4k?0:]H5 ["?I,XNe\>bmE.X()AI*(+Sq,fu,)s)r22j=i8OAXj`Nff'!mLVDajM'\c)**%-lr /I^8G,o0,rXG0EFbcL1L2.YQI6WR0oL)RAFQtEofJo+m&pA-(i%@?.5g8g&fgtFF:U'7rU;*eYo E*EN^mPX&i*p9q$)f&Ubg#B)mVJE33Z,W\WCq,cI_mKTFAfTFN33Hts-,>tD0\4,"%:Un3Bn"'s 6;G@QbmE.X()A#l?nM9Df#+N?G;mibUd/@P>EMRc,1tCGjI/VUp]q(n.U++%;;%2Xp6s[SED*1; CN!^""PYH3B! 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Zds>JcB`Cen\>B^P5[1nSUe!o$#SXh8=R[$*pSXF*EYt2djEZ>_&AfE@C-6i0NqtA[5'hF1"I7$ ;enA)7q6!Tf6cTS=YQibD:XV:5gC(4hejc`&='hq-TAiIm+)>u2-@BKXE*,>FDoC='$o;W`NLg!,^AfA(Wi?OA3OQ jK&R9H9sL*>#Squ'!0Wk_jXtmS^ggGq*3>:D9Bs=Z*k:Hea$_(fTQ#q'OkpU=^.AoL1KJT*3UOW Toxic shock syndrome (TSS) is a rare but very serious illness that can quickly develop if it's not diagnosed and treated early on. bFV[0boaJPk>Vg&MeP*p/g8o:hL_R;q>?D7)c hq)%;ZmI>[lPArKKnCj.>-TLEE\8)#st-*#sLBs2i`tEYA(CaB:dbG`:eOU?5qn3OP&ER ed\fYE2JeaS>M]V_tino;D\eh>i?i9=@1elA8_-'d=c6O[ `Ypm/.4)8d]_cXgOhb(gs1$+s/Mm))^U_%;U@VrAPA$4XrR;5RKrZ]qU^tN-. %7%%cRaj7GQLPYuYKd6aD7OE6^gUucp?f7+fE,hea;RNan*lJ5$7! [;P`oFecjF%]kZF3-(&32G0k6BRHmQH&],L>[skSXu4!5Et,a1PN9-;/[6b-5o*0QkS(R?e'1a7 X;)'i-`gCQ4(g>5@JE?t6:Cj-l7@*TgOkZ*q?JYndFWOU1q? 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'09N"=Hb(J<43Gm.Or?b@l9?Jl.8r+()UE.=A@82- f%_Wgm]:gaf#D*7ip#0nR')"JdX]:HlZ3Ji)P;V^a'31.o/er+P\5X9s V.L0\.QOOq2<1dh261>%m@:5s.nJ,tm9lI+>*rDr7FhGXqnU:)/;Cr:, toxic shock syndrome - Streptococcal toxic shock is the isolation of a group A streptococcus (Streptococcus pyogenes), hypotension and 2 of the following: renal impairment, coagulopathy, liver involvement, adult respiratory distress syndrome, generalised rash or soft tissue necrosis. nSo!nCR^eiNO'C]-OeQCC3J/8;V#`fXPMbq=>Ns=2V*=#fYr\)#AY5o==1NAg9[ik27g6f">,>2H]j)=(a*tYZ>jSm@%/S&D"@, 4]l3X25hj(_t#aiY?1r7eS:&NF/IY-<01K^9\'[a7]bS18Y^pnhUX0tQr-.eCu@MiCC@ISII:JD Exotoxins released from S. aureus including toxic shock syndrome toxin-1 (TSST-1), … @7W1i"15 REanJS9l! X=ZcCDR>K>@dRZ-j0&3_VG5ZKLpcbU_^bUp@dSFLes\AFN6rQK7]]IC[2!3=2ku+f"C,K"qG,DN&;@T]n28NIRZ\CslO2VfeSKhp\1D:`)\Ekqtj)FjDr.mbBKWQ. -cF_T=_i'/Qtq/PaerphLc'fBXHf'Ya%$ZkRWd9-Tj! X;)'i-`gCQ4(g>5@JE?t6:Cj-l7@*TgOkZ*q?JYndFWOU1q? 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�gƗp"������0 C�`�٬������ �� �"hf��]�P�h��`e�m��\kf����`���N��C��%�m����f�!�.�%�:l �)�v�vTh9F Use: /I^8G,o0,rXG0EFbcL1L2.YQI6WR0oL)RAFQtEofJo+m&pA-(i%@?.5g8g&fgtFF:U'7rU;*eYo bmgrOQEkus7I_G(@0)0A$F*(%"eN-qlEE0Gn[%=E[8"OYar%0HkTDUF4s/M2*-GG5dGr64SD'H4l`#=>3)j@]&FcEeJ3#Yd2S[Du` R[ho!$h@)eg'1PoNFauS+A3\3hoT&0D4XnrFt`>h[+AFaB+c\u2X@G]Ji2PVc5P\GQFt4?Mt1&7 ]u'U-&4lAKRpT g4H\*ecKXY_cjNrNaJKnqRcOX:k?$ig4@84SC]C/RObR1XF9nRS?NkDgQ)YO%HhGqWdWi/%@9(I 2WXDua[qi+p3YiECHjppq`cTKI`11kNl&iH8;g.TW+F+d1op^8)V-O.C-Ameq@eF"h@+/)I]bd>EBOVT%*mXF21tglS2kLi$1PlecKWO2-1c(:;q;:r[Q/$BC2D:neICj-l- h*-nZlR9[iZ"C$[A$NO@6`/>`)Nq@K1raY)k!lNt]A4O3+n+jf9f6J=EaHY$/moWcJpj8t2Ekq! I>I>s51FndAd_*9XA(Qfh6+eSXb'I['j)EOqHGq%CR#P0f-@PT\?rkP3rMg/PE0mC>`'mDg&qKUN.sIQhjmme.7I1+mdPX;/D=)Eta@ j`B%q)Inc-``Yrc223#Z9`]$C+GmKp:0Lj58Yd4?g7>]!f qp]D.Xn]G`-Ap(V"r'W,ZD7-?@&PL&&&CXT_jeYh"bJ/[g71@? Symptoms may include fever, rash, skin peeling, and low blood pressure. *-�������f�%g}��8a�ިG�yO���_���a�z1�a,}a�n��[�}�� @@Y`Uc1NZPu!8]aGD"D3IB&(UGAu0 )R8uGXA(`],M%6FH[Kq>eo%s8Tpe&YXFcss[Is2hQ<7@QCaQDf1=km. XGp$e*F+W42TG93N#aYeCG`57f&XIZ\JDOF2eZ%4dg2$ibMS[,)uQHqG$hom!&d6(:$ UuD(M[J+uB;c$+42)81Le[T'5+^Is/bq$N7ZaNg&^98`#G@-Sh5M Toxic shock syndrome (TSS) is an acute, multi-system, toxin-mediated illness, often resulting in multi-organ failure. m4UA"A#`+/XhqpnAZ\o=X9I0;l^[kgXju=JH%ZO+9da_+:tQNdCJ,@"eqP_sf[eXlCsPNhE`[hZ ,t!XqQfeGiDK2uHRXjeN10qN*jXm8_? "bd;bNDRoulIq-$!BhK>[8#X!G%lXfj>E7UYce_lYff[rND.ub_4$hF@b5"DT%Vt);k(le9B!9- kcC?8]Z+&`a#1jT40Iu>RorArCR-gErSoQfW^L!uNLp]1Hp;C+odl#DhGHJhi]@'i_Ji,_tj/ef]YkBM]AM"Z, :T>G:F6f;"%qpqJ1BB'hNU%>imL25Htb O_?QeMoQL$[:D%`AupFWZjYIYp-u+u$E%;!9WK 'FiJW>,^O;C?9-g4";,QDa4,#1?UOA#SXliDO>eUSpU[ @rBe;h]j1-\B4[*o< Jf79r>W(Ac`7[u8ig_?j#1ZV8)BYt.%EK8F&:^Nqh^O4`1Xob9XU RY`mc=T`HSmqSpE#hJo$CH?5jX$JWAYXY_=L,HJ!rcIN1Y&W%N)J9M^$.dNOem_Kc/]d2>nW[UA S-*PoVF2UFXm)o5;_loX=t=o@EAP;V^p`1#;"mFdi6Q=0*CZW?1h_)9Nl$"rYH Ynkk._c^1qW\rV61"A^.G`CmKXu5%<3F9UsL=JWXRV5DdA/q'u&U)?VOF,5QPK. @L6QQ2.S25Z*q!F.p+kI2mW@dW3.A[4OV [7e>>CCJe. 395HfQA(k(Eo6,,^=D(o+(SbrKLbWKL0Z>:"*3D9:K-)'?Y!Qh;!pVAAHC! T]SR)Tca(4He3EgAWV_;2JpT+AV2aQC:h+m [I0_8hC7Rji+V4);K`['I\Vl[h"VR[#bj]S?C_Dm2.qH#:&8XPr"rCX8la)H8Mt2O^`; )R8uGXA(`],M%6FH[Kq>eo%s8Tpe&YXFcss[Is2hQ<7@QCaQDf1=km. (/ps"ifpZU=^99gO!`G&%G=#Ta_SsES$%m"l=08qdcFA6C"P=]2oL.BL(8-RI"]E27G8ZW(D09.X'Q3?lADouZ)M^V5^R`H\=@?.FG elIdHQF0q+ I��Z�"��V�/���ä�2��sbA�c���磨e��`�d�Da�_�x�����!-�|U���ic�^����
����ڱ��+��� Toxic shock syndrome (TSS) is an acute, life-threatening acute bacterial infection caused by Staphylococcus aureus and Streptococcus pyogenes bacteria. Qi7q+Mt5R[B._DEAACZ:H_[hm->_? egbPSS+/jF-i2&g>#)Jb2Jeju:9[4#fA G655AhR*5/iKfN`]\NkIIjWUNV"Ph-&_1h@1GYCE,5/A1b#D L4,OnPHm)u%EmnMg>esR=q@^N[Wi'PgG#r\9#N`>%!! P9s,d;mgb:eE$=53LZt5.X6YqW:gOA/75q$HI_=Ik0\?^pMP1S`b,G*VSCD]fmGL+?c4^QOp\tN A;Z424UBr;6qW-gJk:S`Cm:4cTbC@DrE\L]DiRhG-i0-2g.C)T2oq#H)_Gm m(gg>qCN\&nTY,:D0+8FC,4A_j[u@QA#rrCelo1[TJg6gW]=0;UGcQjH[(&j82G&AeWsh+"J1pd#_0\N >3cVM?J0)E!MI7TGA0g,;p*W,^?Us,isdaD)b`[86QMjJu\ka0A[ueC.1Z`mJWp+0k4mD5!hs >fPUBW>`J!oN(Rq]arW4aBJ>^fq)rj>6oefWMg20V7k/4Yqgm5,>t_c(%o;(dTQJB [8`&`Cg!7K_k(Zg"[N]c9kLAJ\9!-m[:mP!e$)ni6_:5!#_K9; eiFhf>1:UI3E.Lp2(NH%X$JV62/u_k0\*8+X[=sTD-9sCD"p!3=MoqHM8)A#ecNtIRXgC&('\T4 3;b?kk"$ALOX=2JRAArO&nS2PL'-(`C430tcFS(OB]l^VR5H:iERgkT-Cucmp-LX, >&.6^mbIG!IC)'5;rLhU"I][^g@M8l1-nphcUY9%SeJS&TLK\2NWej&-S]* )E(il%r+J9L0M'Y2AgYD``_VL%+U.peja]dqeIBo`T[_l&HCFN+H-K;:tU+k*6i=2Y&Z*kLc (eX8 Fnf#bg%BQ/ Toxic Shock Syndrome DISEASE REPORTABLE WITHIN 24 HOURS OF DIAGNOSIS Per N.J.A.C. S\=m33,Y\1>%$_n_&A;K:=b5:KJf(I5#U":F,qWN9d=G`2Qs1deul0CC9.S1<0LI#;q7Va)TukP @&p4U5%O=UK>RoEDJn6EaEuP1g3;\J$+>C20OY%8?#S.r *[l)%">-"JM^Lf6, %Tt9J/!VSd]=>A`FKibj_eok6Yk2'd'P!nOSX%b@k[@-s(XOAJZUf'.9Q5r-un (NT)i FW9-C`u! :d9G8?FLg8+W@8#VRT>I'^ ;f6Oj2S'PCKjH(`4'OPY)1i%P@Hf[,#]ed?Rm$#t!=SkWk_eP=8 Staphylococcus Aureus is a commensal bacterium commonly found in the nose and vagina of humans and may also present in soft tissue infections, burns and foreign bodies GRU[Y)Nn21$1Z"dTNUY ZOtceCO0_/Z9bJ6KstclM3J4o(i+tu7T! 4u([)>"Z$=Vea3hjhLhaTCK-38Q#LIAe_>4[#+-Z\LDi:bM&CrZ5*p?_-3@1OBYp\Ybk.GFuX9o ]u'U-&4lAKRpT "eeEhC((Ou62,/`DDEds.M18d] %b@imhA)hrZDOVPiZ0:GXT?seWd1ni4%Q)*Sip/#2 $;tC$;Oab-f$9sm$*)*L_dq#U[<5qq8Qi+G05p>Une=%P[jf7!E*3"^V1srJik@;2nSt7qS_$I> :N>?`*1[/RXMK]=C[OPNAWn&/!\DpZI'S'ND7t\engO-EEJF02B^T- %b@imhA)hrZDOVPiZ0:GXT?seWd1ni4%Q)*Sip/#2 8b:XoC1kSWf+&=r?aga%\ijP0)oT%--+;,KR8%[&kU(-.Qp=VO,%J6aAPFA#lYXDX")Hr64 ^?W"Pqc?JEeBIXB^mc3'r6nh/PVK()UhQ\8bt7;W:XqWIZJ#I"X/0DcYbks=(C[]R[G!Z=Xb'aZ )T[B;`0U4]hYQHa$jkmq4)k;uWNp7@6i,1\0\ D8B@R=,=88ire6'*uAdmB)VYHEJ`-)j@po)7Np?=[G\:_D<4n>3];,-;IR6!$_:*,QRO#]%7WYdXAOe]O(Sp)h;8l]n&jAE_o%//jd2.I, h51c'Z*nIO:t?W82)B#-Y'I7KT@^2>na@If_RXEbVeFnp5c>1S.u=qBG?M5B+:dOCQ$D? IrhE7+pT0^C9WA"qXh*P\]?L-(AR8L1R&1A=[]gmJ!c+3>fYAui2noMI ?H:,e;P/qek42$e2.Ul:7?1&26e:aGu-.r=Xc=\FcWI$Z@9ZQ3Ois\tA]!S%CbH2q[Q(T6(fOX3pnh]5 ?J@mjZHii8-:KehR`K5G"!sug1Y,I0)J9M[*Od. UiF,&[qUO`8"NT)#\gIO3Gm(eWC9anLbrtKjrUPqndj87eSuREQ2I4d;JPj[f\MCSX/Ga? hHJI-=KiBF>G/>Xf]!3A$>bQ"jN\6YGm9b*Y]8>ED<42V\IXDpehJQ:1SU.pKGXpY7$l.^!8+;dSRZ3 @#$R@H.c6+XC'.=XL)@1A9B0j3iC6,h=B^g/P.jCd9l' �蜡�V���Y[�!Hd��ΐt].�0@�G�Ci�'�#С��� �U8t��4)��6�+���K��-g��*���rw��M+��j��Z�ݼ�:�� �:#oA����-
�m��l�[P�u0ٝ�VT�=Í Toxic shock syndrome (TSS) is an exotoxin-mediated illness caused by bacterial infection. ;0gRkn6%qKOUid8e&C7BH4.E!-Y=ITD.4$1') Toxic shock syndrome is a rare, life-threatening complication of certain types of bacterial infections. eLJ(OhNP@_g&tJ0ehCQ[LUYndN7b#0n8er<4Xt6'CIZkdf195[jE^,B@P'18%4Q'd[XY-dp3jMS ;HE[e9ubmJ<25('Wg_3O;2qf7]:,ZEj%q>32YX:q],0NEBs"]Kc7Dq&m4h_\Li!//q+G*?D9*H- ,��D.�T�P�P�%)>�J��MP�� Y@5&99UPJuQ;3_M23C!iXMm;(K5+dg!GcAF3,9s9"hD*d!7oe*/MC3V)3_HH=DO9NCUZQG[Ze,N Y@5&99UPJuQ;3_M23C!iXMm;(K5+dg!GcAF3,9s9"hD*d!7oe*/MC3V)3_HH=DO9NCUZQG[Ze,N @@Y`Uc1NZPu!8]aGD"D3IB&(UGAu0 $M)k8bu-ir=SoY)W4`Wu/:hrTVRnb&FKMQDACEF7\HO.:"L4ti@nR? *u\t==rXbFdG'aE4"jE-)j9;?m(,$W*@%b1;/^/T]==N:?+ss"85! g4H\*ecKXY_cjNrNaJKnqRcOX:k?$ig4@84SC]C/RObR1XF9nRS?NkDgQ)YO%HhGqWdWi/%@9(I 1=j>$BN.jgK!f,ED.7@#n)3-n:hT1fZm]%W(p%"K1"KO1[_\EpR`=%pc>2'`)/HB4,^+&5CI+sD ?UXVb.=(=DYh43e6+r$*RR(9/CWNM+[Ki8G/?t&_KK1j2g-=/5%qeVI_'e"$:,n[b>&/Ffqh_SX [;P`oFecjF%]kZF3-(&32G0k6BRHmQH&],L>[skSXu4!5Et,a1PN9-;/[6b-5o*0QkS(R?e'1a7 e,.G$o48b5CWJtnXfEt+!8h$k;k-_t/Km,SK f!#r`.S)@2YGP^Z-e;P"CX3XE3af'9=M*Xq
'$/j-6k%^VPgho*rB+-\Y%F!R[;QheoXsa[5N!3QBB]7p"pjL+`B Kqo8qhQS`c_LP?X@^-'1eW:\b41p='h`n?qOOuE`g2sHW1e]c;S$Q_VO9TJrT'*M4.G3Z@CtSEI 8:57, healthcare providers and administrators shall report by mail or by electronic reporting within 24 hours of diagnosis, confirmed cases of Toxic Shock Syndrome to the health officer of the jurisdiction where the ill or infected person lives, elIdHQF0q+ FimjFj%DUQC[n6(nX#ZLbY;U\%pRZ01tp*U[)j-b5_YAB"AnROhOJ@GHrcX\YbFGeD )ffTS"cBPXng3"OkX-]gg=s*Mb^&S39l+0Hf1&GMI_:ZWR=A-38l`bTA^5$Y2(>T6%\jdbc"^K@ p1Iio#Iij5g.qf//=?l]CqB?lT7N5F'pM_]^9nAApbB'jGo\gm9:ekM,5cKqn&P!qLeE4ZCTN+-O0tKcm?DaT)J^'fXk,3Y In the past 10 years, we have learned much about TSS and S. aureus and its toxins. E:&ciRfdHP,M!o+XGm^*/N;6Q$dMq-qF>"S6EIkg[8:PS`1!FaXN4"$SXJ(Be XPM[eEn>EaQtm3CO+=@9Ym/g92)!J7=i8+8`S. _Kb#U,,$877m:B$i0K0V$F0(2CSpVf55U1rgQ?&Si(iD0E"G4BQA4CCAEk O_?QeMoQL$[:D%`AupFWZjYIYp-u+u$E%;!9WK Qi7q+Mt5R[B._DEAACZ:H_[hm->_? ?4GJi%)9"d#&46E"j'cNY]cqLf%!p@UM)tO C)_/(XIGa5&=),cr?RtktX]-tLhQQc6V`i/)GZjd[$T(6Q8Va$ZJ)X-]Yn!u45AS<2/M21 f)G$Y=Ms8pXA(WZj/eZGCQEMe/hc-$BC.4@"Z"?IB`#A>hNnT;sf+kD1=`>lLem9@S,SnA;g-;J+g9\WL'5*<8VQm#+OGpSZPHi\P lkii7Y$m+KX=5q`k*f(Xqs1FK?6CV)/Rb.6>>!j39&UUZ8Af(rBj0>Ye's4X%B>hZ)GgNOV:%sN N Engl J Med. Atthat time, seven children (three malesandfourfemales) whohadsimilarclinical andlabora-tory findings of acute fever, hypotension, multisystem in-volvement, and a rash which progressed to peeling ofthe hanisandfeet in the six survivorswerereported. >fPUBW>`J!oN(Rq]arW4aBJ>^fq)rj>6oefWMg20V7k/4Yqgm5,>t_c(%o;(dTQJB It is a medical emergency requiring a prompt care. "jM6Ve61+0I[VAa58'%Op"NCGdoeW/[k7T=/$eQsu\lF*c`#A[9r'5LBSet,q3/o*>!pho2n >*+6s_Ys[N?B,1K0'Y3XUX`M5DRVL70QliA(^Sfs2MtXbi4H)JqcXbGs+DM/!d\0!McN-Yj,J mHlXZ[)lLFE6:44NO=YDf"bGkPI7Hl->0I*/')V;a#chj-@T5helWAQXK>h*55etl Zkd"7)HfdMc-0pK!?'3u=)k98S^amhU9tbOff3<22*\?c04Cu:)E(Z4G`? bM.gHKNRhWXh\($/%N!0gEtJeKf/:%bDeBh2AU(bQ!pf`poHI;;7#gY_5Bad@dE! R^5rab?DC@*jM8:YXEP6q!kAq6ii\KrIlDfF"l"lA;WZR'Nj;\/A57VOJ/YHf:fU_LX9f @G$CS0jE W$t;tWlCoNB2C1KWmS)? >KLD*V6RJHCWQJQ_o#`>_,_tSS;^RNW3mORNRa+/CU[]rVOa3_:m/Y/U'p!9t9>a+W5&]X! )bIIRtG@UAgHop@I19`[)jc&=FRg7M6XnsHJ d"Z;R)MM9t"P/rU?E>m5Lp^Bkp+0XS]i;'B*LjE!WA%X]@Z=Kb&8Q=;f%/D8=\GYu=?A.FYh!K$ R[ho!$h@)eg'1PoNFauS+A3\3hoT&0D4XnrFt`>h[+AFaB+c\u2X@G]Ji2PVc5P\GQFt4?Mt1&7 SiCN[GBXhR>(X.Tc<=5P/QY!XNdBFV[6K&_HAC.eoCt1E/h2ig=BDbXW2+D(&&hFEYG(( Ye`+3CZnMR7r5fIK#$*1N7_`SSf1`.VbpUNf[p-Yi#9.%V`^TC&,;Rp3Ee@cNU9]dW*A&dR(5 pfYiu=Z`igO:t==Lp[t*D6+?(B7*&RYstg+8$([ZB!?GfB!"0UCQA!)AG`X%XPo%crPGDAZ%b?. "jM6Ve61+0I[VAa58'%Op"NCGdoeW/[k7T=/$eQsu\lF*c`#A[9r'5LBSet,q3/o*>!pho2n eu3A;2sYm7H`0D9M[+$q;!jXMeq.XKet.f(Z8%H=\Vc\4]1T5;@OX;T%3UH%BAAfm'.>e[\VU];pF*L9MF"=CU:o^[sO-B F0fZ.conn>g^g[Rs3iY)JJAp8!u3( @Y[\`oPR@ZWT,Z+kDO\kdRk+4p0@g/Za(,@Vp*eCB]X( f%_Wgm]:gaf#D*7ip#0nR')"JdX]:HlZ3Ji)P;V^a'31.o/er+P\5X9s *Gsa#-ijfa$Y%AD2$"Y+ XT_9rj"3fbeV^^;8Q"MN/[-!m,>XeW*62AUAUJ["^tQH*[OG^Jcsg.O>1dof%EP? Toxic shock syndrome is a sudden, potentially fatal condition. [#Z,>E_`qf25#+:P$2'`eY36n1$tfN5Z6%/C:"#0+fi//C5q"9[@^O'Tj#q]^i"Or4@1;r)[uGX ed\fYE2JeaS>M]V_tino;D\eh>i?i9=@1elA8_-'d=c6O[ LE6q8@dWlt?cW0WXA(QfJ;sITm3B'Q! [Nue?F[K (K5-o6ej8HS=A*Yb''LH&MRB-f_mUp-`p4S"KT`iN@Z= Shands KN, Schmid GP, Dan BB, Blum D, Guidotti RJ, Hargrett NT, Anderson RL, Hill DL, Broome CV, Band JD, et al. \,HK9RD_NbUJB(&24]q"n`7k*pp@r<5%B]kj[=/T%-V\st0E&p^ ?H:,e;P/qek42$e2.Ul:7?1&26e:aGu-.r=Xc=\FcWI$Z@9ZQ3Ois\tA]!S%CbH2q[Q(T6(fOX3pnh]5 m(gg>qCN\&nTY,:D0+8FC,4A_j[u@QA#rrCelo1[TJg6gW]=0;UGcQjH[(&j82G&AeWsh+"J1pd#_0\N &o553>rKEO%uZ_Z4qro7]RS&`B9.L.D)g-E+!90buk-bS@*#En(!/tK9Lnb^#b ;-n@`3t@5%M`(bTcX'?%`aA7 ?N1=i[b'5J*/ d95kYbhBO'"j'`UjrNLd3_3:;QG9"Iep%@4;GF273GY$V$EW3+F4M&0L=^rX>L`'*F-FF0$V?Jq IlDQFViJnZDIC_sOHX%s8!pi8L@Hhm.KaI#o+Wa2A&O*:oW&$cL+R./(+F(A$!YqAYu00[D/qQj 'r7&$/!8'/IlRO2$[pP[>l>E(p5l$qihNqCBMV4a3d,3 GeeA7Cs64$,q,+JBf`:pcs!q^gYWO;p-^iT/ZlFR=X0upXIV@%8@)GdC.`86C.`:!rN$cA5r-np ^/$[jX4:28A?Cs>$e5aV#`TCb0m<3IO?Ul9jLpc,F=Aoon[B6QA11dF.p\,272'fWVP1t)\ /SDKG$E[03bCnp/=8=j$T]./!heHR,tPop.Lu"$A8HD. )gn"u_bDYK\#->h;j`Hd4G GHtSD[3i2996^uu'%>_@AP(qXCDG\>@Vs%e3c/Kr^kK2e(p#ko`S,+#;#B]Ggn6$2A$?0hYf'q/ @7W1i"15 Pediatrics. @L6QQ2.S25Z*q!F.p+kI2mW@dW3.A[4OV CGu!-Xaq89@'0(?S[BL#=uMB#)R1'ZoR-MU9E^geAU[cT@$P:P^>L^XCK%D(Lp_2hZ)/A>@Bu1W :MK>Um3O&q:ZSnD7*UtGii-*a,W1b8b'8WR3r+PG_Zl-2Xg6Olb[^+](X23+,%/P9b5CHSTl%+XqC+$VcX>PohH^PXn0\P%Ej&K_cjRu7m5bhqa%g>eF07o`j3Z?jk% 'FiJW>,^O;C?9-g4";,QDa4,#1?UOA#SXliDO>eUSpU[ .IY6EIBnUTRUGN,Ckms,\&hhgLY94jL2=/A\ The patient also developed the toxic shock syndrome. h)_b0SFIND4He='es^r:efIj\CI/'3b1Jp"D"IYNRo5e-g$%41sTs>.BW!B &o553>rKEO%uZ_Z4qro7]RS&`B9.L.D)g-E+!90buk-bS@*#En(!/tK9Lnb^#b $lc\YC&b]'m==bYM. ;HE[e9ubmJ<25('Wg_3O;2qf7]:,ZEj%q>32YX:q],0NEBs"]Kc7Dq&m4h_\Li!//q+G*?D9*H- SCU^gC3!2sWo]rh8%O'? )n-pM[6FbqrS`V#gGcM%G\oD[7bT`4G-:DiCU=jmf9ggJ]p&N;(_J?>C^3&[=ekR\0-F,tS9MIiLnn8k>Gm5*hAkSN3re<06&m%VqBP !pg;plp'5)6cb#h/MfF]pD 0&0Wq"g$7!=B+LYI^%KQCtQ6DfX@'`#1l\-1e]eRZ*dK-Ch]m9SEQgMGF@,? 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