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Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 26, Issue 4, Pages 218-220
Case Report

A Confirmed Case of Toxic Shock Syndrome Associated with the Use of a Menstrual Cup

Michael A Mitchell,1 Steve Bisch,2 Shannon Arntfield,2 and Seyed M Hosseini-Moghaddam1

1Department of Medicine, Western University, London, Ontario, Canada
2Department of Obstetrics and Gynecology, Western University, London, Ontario, Canada

Copyright © 2015 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Menstrual cups have been reported to be an acceptable substitute for tampons. These flexible cups have also been reported to provide a sustainable solution to menstrual management, with modest cost savings and no significant health risk.

The present article documents the first case of toxic shock syndrome associated with the use of a menstrual cup in a woman 37 years of age, using a menstrual cup for the first time. Toxic shock syndrome and the literature on menstrual cups is reviewed and a possible mechanism for the development of toxic shock syndrome in the patient is described.