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February 18, 1983

Varicella Zoster and Staphylococcal Toxic Shock Syndrome in a Young Man

Author Affiliations

From the Division of Infectious Disease, LDS Hospital and the University of Utah College of Medicine, Salt Lake City.

JAMA. 1983;249(7):922-923. doi:10.1001/jama.1983.03330310052027

STAPHYLOCOCCAL toxic shock syndrome (TSS), which was first reported by Todd et al,1 who described the disease in children, subsequently received widespread clinical and public recognition as an epidemic that affected many menstruating women.2,3

Intensive epidemiologic and laboratory investigation linked TSS to the use of tampons and to the presence of specific toxin-producing staphylococci in the vagina.4-7 After the withdrawal of certain tampon products from the marketplace and, possibly, other changes in catamenial use, the incidence of TSS in menstruating women has apparently declined.8 The syndrome, however, and variants of it have been increasingly recognized in other populations. Toxic shock syndrome has been described in postpartum and postmenopausal women, postoperative patients of both sexes, and prepubertal children.1,4,5,9 We recently cared for a patient whose case illustrates the growing number of circumstances that may predispose to or be associated with TSS.

Report of a Case  A