Department of Health Services Logo


Wisconsin Department of Health Services

Communicable  Diseases Subjects A-Z



Sexually Transmitted Diseases


Disease Reporting

Toxic shock syndrome (TSS) 

Toxic shock syndrome is a serious illness most often caused by the bacterium Staphylococcus aureus and less commonly Streptococcus pyogenes (group A Streptococcus) both of which can produce "toxins." TSS was first recognized in 1978 and was later associated with tampon use in adolescents and young menstruating women in the majority of those cases. TSS is now known to be associated with other risk factors such as surgical wounds and childbirth.

General information

Toxic shock syndrome fact sheet  - Hmong - Spanish
Group A streptococcal infections (GAS)
CDC (Exit DHS)  

Information for health professionals

This is a Wisconsin disease surveillance category II disease: 
Report to the patient's local public health department electronically, through the Wisconsin Electronic Disease Surveillance System (WEDSS), by mail or fax using an Acute and Communicable Disease case report F-44151 or by other means within 72 hours upon recognition of a case.
Information on communicable disease reporting

Wisconsin case reporting & public health follow-up guidelines: Toxic shock syndrome EpiNet
Wisconsin Toxic shock syndrome case criteria worksheet
Wisconsin State Laboratory of Hygiene Clinical Testing - reference manual (Exit DHS)


Wisconsin Local Health Departments - Regional offices - Tribal agencies

Last Revised: August 05, 2014