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Living with Toxic shock syndrome

A rare illness from bacterial toxins that causes high fever, low blood pressure, rash, and problems in several organs.

Understanding Toxic shock syndrome

Toxic shock syndrome is a rare, serious illness caused by toxins from Streptococcus pyogenes or Staphylococcus aureus bacteria.

It is not contagious. The toxins trigger a strong inflammatory reaction in the body. It is marked by high fever, low blood pressure, rash, problems in several organs, and skin peeling during recovery. It can happen at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • High fever
  • Low blood pressure (hypotension)
  • Fast heart rate (tachycardia)
  • Confusion
  • Muscle aches and belly pain
  • Trouble breathing

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which symptoms mean I should seek emergency care?
What tests show which bacteria are involved?
How is the risk of this illness lowered after an infection?

Quick facts

Symptoms usually startany time in life

It is caused by toxins (exotoxins) made by Streptococcus pyogenes or Staphylococcus aureus bacteria.

Infectious

Also known as: bacterial toxic-shock syndrome; bacterial tss; gram-positive septic shock; shock syndrome (tss), toxic; syndrome (tss), toxic shock; toxic shock

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Toxic shock syndromeGARD ID 9560 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Toxic shock syndrome.

Explore the Toxic shock syndrome blog

Explore research for Toxic shock syndrome

Explore actively recruiting Toxic shock syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Toxic shock syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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