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ARTICLE |

Varicella Zoster and Staphylococcal Toxic Shock Syndrome in a Young Man

Jay A. Jacobson, MD; John P. Burke, MD; Barry A. Benowitz, MD; Phyllis V. Clark
JAMA. 1983;249(7):922-923. doi:10.1001/jama.1983.03330310052027.
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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.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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