<prompt> A 36 year old female presented with fever 105oF, Leucocytosis 15,000mm3. She also complained of vomiting, diarrhoea, She had eaten a fried rice at chinese restaurant. She became ill four days after her menstrual period she had retained a vaginal tampon. What is the diagnosis:SSSToxic Shock SyndromeStaphylococcal food poisoningWaterhouse friderichsen syndrome  <response>: Toxic shock syndrome is associated with use of vaginal tampon by menstruating females. 