21. In cases of streptococcal toxic shock syndrome , treatment consists of penicillin and clindamycin, given with intravenous immunoglobulin. 22. Toxic shock syndrome may have faded from prominent public concern but not from the medical record books.23. Today, about half the cases of staphylococcal toxic shock syndrome have no connection with tampons or menstruation. 24. Time is of the essence in treating toxic shock syndrome , especially when it is caused by flesh-eating streptococci. 25. SAP was discontinued from use in tampons due to 1980s concern over a link with toxic shock syndrome . 26. "Right now, Procter & AMP; Gamble is the world's foremost expert on toxic shock syndrome , " said Plummer. 27. For staphylococcal toxic shock syndrome , the diagnosis is based strictly upon CDC criteria defined in 2011, as follows: 28. After the surgery it was discovered that he was suffering from Toxic shock syndrome , a rarity in men. 29. EMRSA16 has been found to be identical to the enterotoxin A and toxic shock syndrome toxin 1 genes. 30. Other toxigenic " S . pyogenes " infections may lead to streptococcal toxic shock syndrome , which can be life-threatening.