Author's Reply: Drs. Rowley and Shulman call attention to the important controversy over whether Kawasaki syndrome (KS) can be caused by superantigen-producing bacteria, and more specifically toxic shock syndrome toxin-1 (TSST-1)-producing S. aureus. While the association between KS and infection by superantigen-producing bacteria is not yet accepted by all investigators, there is growing evidence to support this theory. The issues surrounding this controversy have been carefully reviewed inreference 1, and we appreciate the opportunity to offer the following comments.

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Patrick M Schlievert

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Reply: Toxin-Producing Staphylococcus aureus and Kawasaki Disease