Recurrent toxic shock syndrome

While the classic manifestations of toxic shock syndrome in a high-risk patient are readily recognized, probable cases of the syndrome are often overlooked. This is especially true of nonmenstrual toxic shock syndrome, which may be associated with a variety of clinical conditions. There is a 30 percent risk of recurrence following the first episode of toxic shock. The roles of prophylactic antibiotics and oral contraceptives in reducing recurrences require further study.