Streptococcal toxic shock syndrome

Streptococcal toxic shock syndrome (Strep TSLS) is an acute severe syndrome caused by streptococcus. It is characterized by local pain, high fever, hypotension, and multiple organ involvement. It can be caused by group A streptococcus, S. mitis or S. viridans. The pathogen invades the human body mainly through the mucous membrane or skin. Most patients develop infection based on minor local trauma. The patient was due to postoperative infection. The incubation period is short and the onset is rapid. A few patients have precursor symptoms such as fever, chills, myalgia, and diarrhea. More common in adults under 50 years of age, more common in winter and spring. The incidence of females is significantly higher than that of males, accounting for 95%, 90% of which are related to menstrual cramps. The incidence of TSS in vaginal plug users is approximately 18 times that of non-users.