What is Streptococcal Toxic Shock Syndrome (STSS)?

News - Jun 26, 2024

Updated at

Jun 26, 2024

Dr. Ahmed Zayed - Reviewer Image
Medically reviewed by

Dr. Ahmed Zayed

Written by

Jamie Smith

What is Streptococcal Toxic Shock Syndrome

The bacterium Streptococcus pyogenes, often known as Group A Streptococcus (GAS), may produce a sometimes deadly illness known as Streptococcal Toxic Shock Syndrome (STSS). Under these circumstances, the bacteria produce toxins that cause rapid onset of symptoms, which can lead to shock and organ failure should treatment not be fast enough.

STSS is rare but has a significant fatality rate, hence it requires immediate medical attention even. Treating this important disease successfully depends on a solid awareness of the symptoms, risk factors, and available treatments. there are various treatment options for the medication in Australia, USA, UK, Japan.


STSS SymptomsThe symptoms of STSS at initial stages could be very mild and could be similar to some other diseases and then worsen rapidly. The following are many of the most often occurring STSS symptoms:

Typically combined with chills, a high, rapidly increasing fever is one of the first symptoms of STSS.  Of the symptoms mentioned the patients may describe an intense stinging at the site of the infection to be cramping or arthritic pain similar to a pulled muscle.

Toxic shock was also characterized by low blood pressure; especially in the worst scenarios, it could lead to dizziness, fainting, and possibly shock. The skin might desquamate and a sunburn like broad rash might appear.

Due to reduced blood supply to the brain as the disease advances, the patient may fail to find his or her way or even get confused.   If not treated immediately the illness may have negative implications on vital human body parts such as the kidney, liver, lungs, and heart.

Risk Factors

There are many possible reasons for Streptococcal Toxic Shock Syndrome (STSS). Knowing certain risk factors helps one assist with early identification and prevention:

Those with invasive group A streptococcus infections—cellulitis, necrotizing fasciitis, or pneumonia—run a higher risk of STSS.

Small punctures, wounds, surgical cuts, or even insect bites might all let bacteria into the body. STSS is more frequent in those with diabetes, cancer, or immune system problems.

Those who have lately been sick—especially with respiratory problems—are more prone to get subsequent bacterial infections.

Though reports of STSS tend to be more in adults, particularly those 65 and older, it may attack at any age. Females also have a considerably higher prevalence.

How is STSS Treated?

From the cases of Streptococcal Toxic Shock Syndrome, if there is a need for patients to enhance their outcomes, then what is required is an aggressive and timely intervention. Usually, these techniques are used in concert to treat patients:

Morphologically, the first line of defence against STSS are normally drugs. Formerly, one takes penicillin and clindamycin for the infection and also one takes a medication to cure the infestation of parasite.

Penicillin kills the germs; Penicillin G Potassium 400 reduces the chances of toxins being manufactured by these germs. Under extreme circumstances, intravenous antibiotics may be used to develop antibiotic tablets in a bid to fasten their impact.

 In this case, some approach to increase the focus of an antibiotic in the blood include by administering penicillin injection; this increases the destructiveness of germs in a shorter duration.

To patients with STSS, they much need to be fully supported to weather the development of symptom and prevention consequences. This entails airway management in this subject as in cases of failure of the respiratory system, fluid therapy to maintain blood pressure and drugs to support organ functions.

 However, when an infection leads to apparent tissue injury, for instance in necrotizing fasciitis surgery to’amputate the affected tissue ‘so as to control the progression of the infection may be necessary.

Planning a Trip to Japan? There’s No Need to Cancel Your Holiday

You should not abandon your travel plan to Japan just because of STSS, therefore. While it is a severe condition, the chance that you will contract STSS is very slim or almost non-existent if you are in another country. Think about these ideas for a wonderful and worry-free trip

You should familiarize yourself with the primary symptoms of STSS and the factors that may lead to it; this way, if you do need urgent medical help, you can get it much quicker.

 Maintain your own cleanliness. Regular washing of the hands also assist you to have good personal patron scores; cover up any cuts or injuries.

 Keep Your Health Good. For you to boost your immunity to diseases; ensure you take enough water; take balanced meals, and avoid late sleeping.

 Get Medical Help Immediately. Consult a physician at the initial signs that you are falling ill or when you observe signs of an infection. Neglect mostly relies on early management; Japan again is a first world nation in terms of health care facilities.

 The first thing, therefore, to look for should be travel insurance covering hospitalization and medical bills.


What are the early symptoms of STSS?

Early STSS symptoms include a wide rash, low blood pressure, high fever, chills, and severe pain at the infection site.

How is STSS diagnosed?

Blood cultures and tissue samples are among the laboratory tests that confirm the clinical symptoms guiding the diagnosis.

Is STSS contagious?

Group A: As for the mode of transmission, STSS is not transmissible through the air since it is not caused by a virus; however, Streptococcus, the bacteria responsible for the illness, may be transmitted either through droplets or through contact with contaminated wounds.

Can STSS be prevented?

Maintaining great cleanliness, addressing wounds right once, and managing chronic health issues would help to lower the risk even if there is still no immunization for STSS.

What is the prognosis for someone with STSS?

Your prognosis will depend on the degree of the illness and the speed of therapy you get. Early and strong treatment considerably enhances the outcomes.

Are certain countries more at risk for STSS?

Though STSS may strike anywhere in the world, there is no evidence that particular countries—like Australia, USA, UK, or Japan—are more vulnerable than others are.