STSS is a severe illness characterized by shock, multiorgan failure. NF presents with severe local pain, destruction of tissue.
Rheumatic fever is a leading cause of acquired heart disease in young people worldwide.
Transmission Person to person by contact with infectious secretions. African-Americans, American Indians. Surveillance National passive surveillance for invasive infection and STSS since 1995. Trends Worldwide, rates of invasive disease, STSS and NF increased from the mid-1980s to early 1990s. Opportunities Improved surveillance permits monitoring disease trends and risk groups.