Toxinoses shock syndrome is caused by strains of S. aureus that produce a specific, absorbable toxin. the syndrome results in high fever, rash, vomiting, diarrhea, hypotension, and multiorgan involvement (especially gastrointestinal,renal,and hepatic damage). Staphylococcal gastroenteritis is caused by ingestion of food contaminated with toxin produced by S.aureus Scalded skin syndrome (mild cases are sometimes called bullous impetigo) involves the appearance of superficial bullae resulting from the action of an exfoliative toxin that attacks the intercellular adhesive of the stratum granulosum, causing marked epithelial desquamation.