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University of Nebraska Medical Center

A rare, deadly bacterial infection is on the rise in Japan. What is STSS?

Washington Post Streptococcal toxic shock syndrome kills up to 30 percent of patients and is “highly associated” with flesh-eating infections. Symptoms include fever and a red rash.

A record number of cases of streptococcal toxic shock syndrome (STSS) in Japan this year has focused attention on the rare and potentiallydeadly bacterial infection. There have been 1,019 cases of STSS in the first six months of 2024, surpassing the total number recorded last year in the country.

Japan’s National Institute of Infectious Diseases warned of a rise in cases in March, after 77 deaths from the illness were recorded. The majority of the cases at that time were of people above the age of 50.

The United States reported 145 cases of STSS in 2021, according to the latest data available from the U.S. Centers for Disease Control and Prevention.

What is streptococcal toxic shock syndrome, or STSS?

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Streptococcal toxic shock syndrome is a severe illness caused when Group A Streptococcus bacteria spreads into the blood and deep tissues, according to the CDC.

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