Chicken Pox)
Contraceptive sponges
History of a recent birth, miscarriage, or abortion
Using super-absorbent tampons
Previously having TSS

Diagnosis
For staphylococcal toxic shock syndrome, the diagnosis is based upon CDC criteria defined in 2011, as follows:
Body temperature > 38.9 °C (102.02 °F)
Systolic blood pressure < 90 mmHg
Diffuse macular erythroderma
Desquamation (especially of the palms and soles) 1–2 weeks after onset
Involvement of three or more organ systems:
Gastrointestinal (vomiting, diarrhea)
Muscular: severe myalgia or creatine phosphokinase level at least twice the upper limit of normal for laboratory
Mucous membrane hyperemia (vaginal, oral, conjunctival)
Kidney failure (serum creatinine > 2 times normal)
Liver inflammation (bilirubin, AST, or ALT > 2 times normal)
Low platelet count (platelet count < 100,000 / mm3)
Central nervous system involvement (confusion without any focal neurological findings)
Negative results of:
Blood, throat, and CSF cultures for other bacteria (besides S. aureus)
Negative serology for Rickettsia infection, leptospirosis, and measlesCases are classified as confirmed or probable as follows:

Confirmed: All six of the criteria above are met (unless the patient dies before desquamation can occur)
Probable: Five of the six criteria above are met

Treatment
The severity of this disease frequently warrants hospitalization. Admission to the intensive care unit is often necessary for supportive care (for aggressive fluid management, ventilation, renal replacement therapy and inotropic support), particularly in the case of multiple organ failure. Treatment includes removal or draining of the source of infection—often a tampon—and draining of abscesses. Outcomes are poorer in patients who do not have the source of infection removed.Antibiotic treatment should cover both S. pyogenes and S. aureus. This may include a combination of cephalosporins, penicillins or vancomycin.
She did not recover, and died sixteen days later on April 22 from toxic shock poisoning at the age of 42. Mike Von Erich, d. 1987, developed the syndrome after shoulder surgery: he made an apparent recovery but experienced brain damage and weight loss as a result of the condition; he died by suicide later. References
External links
Stevens DL (1995). "Streptococcal toxic-shock syndrome: spectrum of disease, pathogenesis, and new concepts in treatment". Emerging Infectious Diseases. 1 (3): 69–78. doi:10.3201/eid0103.950301. PMC 2626872. PMID 8903167. "Toxic Shock Syndrome (TSS): The Facts". Toxic Shock Syndrome information service. tssis.com.