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In March of , year-old Sara Manitoski died during an overnight school trip. This week, Canadian officials determined that toxic shock syndrome TSS related to tampon use caused her mysterious death , according to multiple reports. TSS affects fewer than one in , people in the U. Although TSS is rare, it's also serious, so it's important to know the symptoms ahead of time. Staphylococcus is commonly found in the body about 30 percent of us carry it in our noses , and group A streptoccocus is also commonly found on the skin and in the nose and throat. But because many strains don't produce TSS-causing toxins, the bacteria don't always cause problems. Adalja, M.