This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Microbiology
Toxic shock syndrome is caused by -a) Streptococcus pyogenesb) Staphylococcus aureusc) Strept albicansd) E.durans 
Select and explain. 
A. ac, B. ab, C. ad, D. bc
B: ab
Answer: B: ab 
Explanation: Toxic shock syndrome 

TSS is a potentially fatal multisystem disease characterized by sudden high fever, fainting, watery diarrhea, headache and muscle ache.


There are two types of TSS :-

1.    Staphylococcal TSS
- Staphylococcal TSS results from the elaboration of toxic shock syndrome toxin type-1 (TSST-1) also known as enterotoxin type F or pyrogenic exotoxin C.
- Enterotoxin B or C may also produce TSS.
2.    Streptococcal TSS
 - Streptococcal TSS results from the elaboration of pyrogenic exotoxin A.