TY - JOUR
T1 - Group A Streptococcus causing a life-threatening postpartum necrotizing myometritis
T2 - A case report
AU - Lurie, Samuel
AU - Vaknine, Hananya
AU - Izakson, Alexander
AU - Levy, Tally
AU - Sadan, Oscar
AU - Golan, Abraham
PY - 2008/8
Y1 - 2008/8
N2 - During childbirth, group A Streptococcus (GAS) can cause a diverse spectrum of disorders ranging from asymptomatic infection to puerperal sepsis and toxic shock syndrome. We report on a healthy parturient who survived a life-threatening necrotizing myometritis due to GAS following an unremarkable spontaneous delivery. Approximately 29 h after an unremarkable spontaneous vaginal delivery, a generally healthy 28-year-old multiparous woman developed a life-threatening necrotizing myometritis due to GAS. The patient subsequently underwent a total abdominal hysterectomy. Following the surgery, she made a prompt and complete recovery. The course of this extremely rare complication might be so fulminant that the diagnosis is sometimes made after the patient cannot be saved. Clinicians should still consider GAS in life-threatening infections occurring during the perinatal period.
AB - During childbirth, group A Streptococcus (GAS) can cause a diverse spectrum of disorders ranging from asymptomatic infection to puerperal sepsis and toxic shock syndrome. We report on a healthy parturient who survived a life-threatening necrotizing myometritis due to GAS following an unremarkable spontaneous delivery. Approximately 29 h after an unremarkable spontaneous vaginal delivery, a generally healthy 28-year-old multiparous woman developed a life-threatening necrotizing myometritis due to GAS. The patient subsequently underwent a total abdominal hysterectomy. Following the surgery, she made a prompt and complete recovery. The course of this extremely rare complication might be so fulminant that the diagnosis is sometimes made after the patient cannot be saved. Clinicians should still consider GAS in life-threatening infections occurring during the perinatal period.
KW - Bacterial obstetric infections
KW - Critical care obstetrics
KW - Group A Streptococcus
KW - Postpartum care
UR - http://www.scopus.com/inward/record.url?scp=52649109765&partnerID=8YFLogxK
U2 - 10.1111/j.1447-0756.2008.00900.x
DO - 10.1111/j.1447-0756.2008.00900.x
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AN - SCOPUS:52649109765
SN - 1341-8076
VL - 34
SP - 645
EP - 648
JO - Journal of Obstetrics and Gynaecology Research
JF - Journal of Obstetrics and Gynaecology Research
IS - SUPPL.1
ER -