- Associated Press - Wednesday, March 2, 2016

LANSING, Mich. (AP) - State health officials say they have identified a cluster of tampon-associated cases of toxic shock syndrome in Michigan.

The Michigan Department of Health and Human Services said Wednesday that five cases have been reported since December. None were fatal. The past 10 years averaged fewer than four reported cases annually.

The agency says toxic shock is a rare but serious syndrome caused by bacterial infection. Symptoms include sudden fever, vomiting, diarrhea, dizziness and shock with multi-organ dysfunction.

According to the agency, tampon-associated toxic shock has historically been attributed to improper use, such as leaving a tampon in too long. The agency says tampons shouldn’t be left in longer than six to eight hours.

The agency says the only commonalities found between the five cases involve product selection, with four out of five using super-absorbency tampons.

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