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
Which of the following Staphylococcal infection is not toxin mediated: 
Select and explain. 
A. Toxic shock syndrome, B. Scalded skin syndrome, C. Food poisoning, D. Septic shock
D: Septic shock
Answer: D: Septic shock 
Explanation: Ans. is (d) Septic shock Toxin mediated illness of S. Disease Toxin involved - Toxic shock syndrome Toxic shock syndrome toxin - Food poisoning Enterotoxin - Staphylococcal scalded skin syndrome Exfoliative/epidermolytic toxin Note: Septic shock is due to bacteremia.