Intense, flu-like symptoms in women using menstrual devices: always think of staphylococcal Toxic Shock Syndrome

Staphylococcal Toxic Shock Syndrome (TSS) is an exceptionally rare, toxin-induced, life-threatening, clinical entity that has largely been associated with the use of tampons and other menstrual devices. We, here, report a case of menstrual TSS in a young, female patient who was successfully treated in our hospital. The patient was vaginally colonized with Staphylococcus aureus and Escherichia coli and the possible interactions between the two are discussed. An account of all the essential facts that physicians should be aware of with regard to TSS is subsequently included.