A different but similar condition can result from toxins produced by the group A Streptococcus (GAS) bacterium. This is sometimes referred to as streptococcal toxic shock syndrome or toxic shock-like syndrome (TSLS).
The symptoms and treatment for this syndrome are nearly identical to those of toxic shock syndrome. However, TSLS is not associated with tampon use.
People who are at greater risk for a GAS infection are also more likely to develop TSLS. Your risk may be increased if you have:
diabetes
abused alcohol
chickenpox
undergone surgery