A 38 year old woman presents with fever of 103degF, hypotension, confusion and a diffuse, erythematous rash. She had uncontrollable epistaxis for which a nasal pack was placed 3 days ago. What is the likely mechanism of action of the microbial toxin that has caused her current illness?

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Vikas Bhardwaj
Medical Technologist, AIIMS New Delhi
Updated: Apr 17, 2026