The condition can progress to kidney failure, shock, and death within 48 hours. Anyone who has been using tampons or who has a skin wound or infection and experiences the signs and symptoms described above, or if you have a skin or wound infection, should call a doctor immediately.
In general, TSS symptoms can develop as soon as 12 hours after a surgical procedure. Symptoms usually develop in 3 to 5 days in individuals who are menstruating and using tampons or menstrual cups.
If toxic shock syndrome isn't treated: Organs such as the liver and kidneys may begin to fail. Problems such as seizures, bleeding, and heart failure can happen.
Within 1-2 days, affected individuals will then develop worsening symptoms including low blood pressure, confusion, and organ failure.
Prostration and hypotensive shock can occur within 24 hours. Milder forms of the disease also may be seen. The overall mortality rate is approximately 8 percent. This report describes a mild case of TSS in a young, healthy, 16-year-old female who developed symptoms during menstruation.
A sudden high fever. Low blood pressure. Vomiting or diarrhea. A rash resembling a sunburn, particularly on your palms and soles.
What Are the Symptoms of TSS? The symptoms are a lot like ones you might see from other kinds of infections: swelling, fever, redness, and a general feeling of being unwell. TSS symptoms usually come on quickly, about 2 days after the bacteria infects you.
Abstract. Toxic shock syndrome (TSS) is a potentially fatal postoperative complication, and even more so if the diagnosis is delayed. We present the case of a 7-month-old male infant who developed TSS as a complication of tissue expansion using an external port device.
Despite aggressive treatment, the mortality rate for STSS ranges from 30% to 70%. Mortality from STSS is substantially lower in children than adults. Known complications of shock and organ failure can occur, including tissue necrosis and loss of extremities.
Given the number of women worldwide who regularly use tampons, TSS is a very rare condition. Suggestions to reduce the risk include: Change tampons regularly (at least every four hours). Avoid using super-absorbent tampons.
Sadaty has seen countless cases of forgotten tampons—and zero cases of TSS. "If you leave your tampon in past the eight-to-twelve-hour mark, it could increase your risk, but it is an extremely rare disease—women shouldn't be afraid," she says.
There isn't a set time for when symptoms of TSS start after using a tampon. However, tampons should be removed from your vagina after eight hours to lower your risk of TSS. This doesn't mean you will get TSS if a tampon is left in your vagina longer than eight hours.
Patients with staphylococcal toxic shock syndrome may have a staphylococcal infection anywhere in the body and the site of infection may not be immediately apparent. Symptoms of toxic shock include: Flu-like symptoms such as fever, chills, muscle aches, nausea, vomiting and diarrhea.
Clinical Criteria
Multisystem involvement (three or more of the following organ systems): Gastrointestinal: vomiting or diarrhea at onset of illness. Muscular: severe myalgia or creatine phosphokinase level at least twice the upper limit of normal.
All patients should be admitted to the intensive care until, with more severe cases going to a burn unit. The case fatality rate of Streptococcal TSS may exceed 50% whereas non-streptococcal TSS is less than 3%.
Expert analysis says the more absorbent the tampon, the more bacteria it can hold onto. That, paired with a tiny tear from something like pulling out a dry tampon before it's saturated with blood, can introduce the bacteria into the body.
Leaving a tampon in for too long can lead to infections and rarely cause life-threatening toxic shock syndrome (TSS). TSS is typically caused by an overgrowth of bacteria called Staphylococcus aureus. Each year toxic shock syndrome affects about 1 in 100,000 women.
The instructions on your tampon box are clear: You should never keep the same tampon in for longer than eight hours. If you leave it in longer than that, you risk toxic shock syndrome and other health concerns.
In the U.S., TSS is estimated to affect 3-6 people per 100,000 per year," said Erin Clark, MD, an obstetrician-gynecologist with University of Utah Health. "The National Organization for Rare Disorders estimates that TSS related to tampon use occurs in about 1 in 100,000 menstruating women."
About half of all cases of toxic shock syndrome with staphylococci bacteria occur in women of menstruating age (most often in women ages 15 to 25 years of age who use tampons).
Damage cannot be caused to the vagina or cervix by using a tampon. The main concern with a retained tampon is an infection or toxic shock syndrome (TSS), but this is very rare.
You should only use a tampon for up to 8 hours. So, if you're asking can you sleep with a tampon in, the short answer is yes. Your tampon doesn't know if it's day or night and will work the same while you sleep, just be sure to only use a tampon for up to 8 hours.