NOTE: A surveillance case definition is a set of uniform criteria used to define a disease for public health surveillance. Surveillance case definitions enable public health officials to classify and count cases consistently across reporting jurisdictions. Surveillance case definitions are not intended to be used by healthcare providers for making a clinical diagnosis or determining how to meet an individual patient’s health needs.
The streptococcal toxic shock syndrome is a severe illness associated with invasive or noninvasive group A streptococcal (Streptococcus pyogenes) infection. STSS may occur with infection at any site, but most often occurs in association with infection of a cutaneous lesion. Signs of toxicity and a rapidly progressive clinical course are characteristic, and the case fatality rate may exceed 50%.
An illness with the following clinical manifestations occurring within the first 48 hours of hospitalization or, for a nosocomial case, within the first 48 hours of illness:
Diagnosis is based on laboratory isolation of group A Streptococcus.
Isolation of group A Streptococcus from a nonsterile site in a patient with illness that meets the clinical case definition in the absence of another identified etiology for the illness.
Isolation of group A Streptococcus from a normally sterile site in a patient with an illness that meets the clinical case definition.