Association of Characteristics of Tampon Use with Menstrual Toxic Shock Syndrome in France

Billon, A.; Gustin, Marie-Paule; Tristan, Anne; Bénet, Thomas; Berthiller, Julien; Gustave, Claude Alexandre; Vanhems, Philippe; Lina, Gérard

doi:10.2139/ssrn.3514661

Cited by 1 publication

(1 citation statement)

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“…Diagnosis for TSS is usually based on the United States Centers for Disease Control and Prevention (CDC) clinical criteria which include fever, hypotension, diffuse erythroderma, and involvement of at least three organ systems, in addition to negative cultures for alternative pathogens and negative serologic tests for other conditions [ 5 ]. In previously published reports, most cases of TSS were related to the use of tampons with high absorbency, the continuous use of tampons for more days of the menses, and the use of a single tampon for a longer period of time [ 10 , 11 ]. Menstrual cups use is also proven to cause TSS.…”

Section: Discussionmentioning

confidence: 99%

Toxic shock syndrome associated with menstrual cup use

Soufi

Al-Nuaimi

et al. 2021

IDCases

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Staphylococcal toxic shock syndrome is a rare but life-threatening condition. It occurs when Staphylococcus aureus bacteria colonizing the vagina of a healthy woman, produce toxic shock syndrome toxin 1 activating the immune system and leading to multiorgan failure. Menstrual cups also known as vaginal cups are usually used as alternatives to other intravaginal products for menstrual blood collection. In rare cases, they can also lead to toxic shock syndrome. We report a case of toxic shock syndrome associated with vaginal cup use in a healthy menstruating woman. The diagnosis was made based on the United States Centers for Disease Control and Prevention criteria of the syndrome and confirmed with a vaginal cultural growth of Staphylococcus aureus .

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Section: Discussionmentioning

confidence: 99%