Streptococcal Toxic Shock Syndrome

The decline in the incidence of TSS in the late 1980s was closely followed by the emergence of an even more serious illness. Initially classified as streptococcal toxic shock-like syndromes (TSLS) by the CDC, a consensus definition was formulated in 1993. It was identical to the case definition for TSS except that TSLS develops in association with a severe soft-tissue infection and culture results from a normally sterile site must be positive for Streptococcus pyogenes [group A streptococcus (GAS)]. In 1995, the CDC published a new case definition for streptococcal toxic shock syndrome (STSS); the current case definition, as published in 1997, is shown in Table 138-3.8,9

How To Win Your War Against Bronchitis

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