Another Fatality Due to Postpartum Group A Streptococcal Endometritis in the Modern Era.
group a streptococcus
non-steroidal anti-inflammatory drugs (nsaid)
postpartum endometritis
toxic shock syndrome
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
08 May 2019
08 May 2019
Historique:
entrez:
18
7
2019
pubmed:
18
7
2019
medline:
18
7
2019
Statut:
epublish
Résumé
Group A streptococcus (GAS) is a rare yet potentially lethal cause of postpartum endometritis. Atypical early presentation and the routine use of post-delivery analgesics which might mask the symptoms preclude timely diagnosis and appropriate management. The invasive disease usually follows a rapidly progressive course that has considerable morbidity and mortality. Streptococcal toxic shock syndrome (TSS) can complicate this condition leading to refractory septic shock and possible death. We hereby present a case of a 42-year-old female patient who developed GAS postpartum endometritis complicated by streptococcal TSS resulting in death despite enormous resuscitative efforts. We aim to increase awareness of this lethal condition highlighting the importance of early recognition and prompt management.
Identifiants
pubmed: 31312545
doi: 10.7759/cureus.4618
pmc: PMC6615581
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e4618Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Infect Dis Obstet Gynecol. 1999;7(6):276-82
pubmed: 10598916
Am J Obstet Gynecol. 2002 Aug;187(2):305-10; idscussion 310-1
pubmed: 12193917
Clin Infect Dis. 2002 Sep 15;35(6):665-70
pubmed: 12203162
Medicine (Baltimore). 2003 Jul;82(4):225-35
pubmed: 12861100
Int J Gynaecol Obstet. 2004 Jun;85 Suppl 1:S52-61
pubmed: 15147854
Cochrane Database Syst Rev. 2004 Oct 18;(4):CD001067
pubmed: 15495005
JAMA. 1992 Jun 24;267(24):3315-6
pubmed: 1597914
Clin Infect Dis. 2013 Sep;57(6):870-6
pubmed: 23645851
Obstet Gynecol. 2014 Apr;123(4):874-82
pubmed: 24785617
IDCases. 2017 Jun 27;9:91-94
pubmed: 28725564
J Infect Dis. 1993 Jun;167(6):1401-5
pubmed: 8501331