In:
Clinical Medicine Insights: Case Reports, SAGE Publications, Vol. 9 ( 2016-01), p. CCRep.S40217-
Abstract:
We encountered a case where an infection with group A streptococcus (GAS; ie, Streptococcus pyogenes) initially caused primary peritonitis and then subsequently caused streptococcal toxic shock syndrome. The patient's life was likely saved by an emergency laparotomy followed by extensive peritoneal lavage and drainage. Case Presentation A 40-year-old woman was admitted to the Emergency Department for lower abdominal pain and numbness in the extremities. She presented with systemic inflammatory response syndrome. An emergency laparotomy was performed, and ascites that resembled pus and general peritonitis were noted. Peritoneal lavage and drainage were performed, and GAS was isolated from peritoneal fluid. Gram staining of cervical polyp specimens revealed Gram-positive bacteria. Conclusions The patient was diagnosed with streptococcal toxic shock syndrome due to an ascending GAS infection originating from vagina.
Type of Medium:
Online Resource
ISSN:
1179-5476
,
1179-5476
DOI:
10.4137/CCRep.S40217
Language:
English
Publisher:
SAGE Publications
Publication Date:
2016
detail.hit.zdb_id:
2580498-4
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