Group A Streptococcus causing a life-threatening postpartum necrotizing myometritis: A case report

Samuel Lurie, Hananya Vaknine, Alexander Izakson, Tally Levy, Oscar Sadan, Abraham Golan

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)645-648
Number of pages4
JournalJournal of Obstetrics and Gynaecology Research
Volume34
Issue numberSUPPL.1
DOIs
StatePublished - Aug 2008
Externally publishedYes

Keywords

  • Bacterial obstetric infections
  • Critical care obstetrics
  • Group A Streptococcus
  • Postpartum care

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