Toxic shock syndrome (TSS) can affect men, women, and
children. Most people who get TSS are in good health before they become ill.
The illness usually develops rapidly, and most people become much sicker than
would be expected if they simply had the
flu or another minor infection. This can be a
life-threatening illness, so immediate medical treatment in a hospital is
always necessary.
Most cases of TSS that people have heard about have been related to
women using tampons, which is called menstrual TSS.
Young women aged 13 to 19 are affected most often, representing about 40% of
menstrual TSS cases.1
Nonmenstrual TSS can follow outbreaks of the
flu or be a rare complication of
chickenpox. About 55% of people who develop TSS have
nonmenstrual TSS. Nonmenstrual TSS may be related to a history of
antibiotic use. It is most likely to develop in women
who are in the hospital after childbirth or a surgical procedure.1
Menstrual TSS has declined since women have become more aware of the
direct relation of TSS with tampon use. Also, certain extremely absorbent
tampons are no longer available, which means that a woman must change a tampon
more often. This reduces the risk for TSS.
While menstrual TSS cases have decreased, nonmenstrual TSS continues
to occur at a steady rate.