Table 1. The diagnostic criteria for septic shock and streptococcal toxic shock syndrome.

Septic shock	Streptococcal toxic shock syndrome
Presumed or confirmed infection	Isolation of GAS from normally sterile site
Plus at least ONE of the following	Plus at least TWO of the following
Renal dysfunction	Renal dysfunction
Respiratory distress	Respiratory distress
Hepatic dysfunction	Hepatic dysfunction
Hematological abnormalities	Coagulopathy
Altered mental status	Erythroderma ± desquamation
Unexplained metabolic acidosis	Soft tissue necrosis
Tachycardia	Pain
	Tissue destruction
	Skin discoloration
AND	AND
Hypotension that is refractory to adequate volume resuscitation	Hypotension that is refractory to adequate volume resuscitation