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
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

e4618

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Akhil Singhal (A)

Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.

Mohammad Alomari (M)

Internal Medicine, Cleveland Clinic Foundation, Johnson city, USA.

Shivangi Gupta (S)

Internal Medicine, Shadan Institute of Medical Sciences, Hyderabad, IND.

Shaden Almomani (S)

Internal Medicine, Jordanian Royal Medical Services, Amman, JOR.

Shrouq Khazaaleh (S)

Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.

Classifications MeSH