Group a streptococcal toxic shock syndrome with severe necrotizing fasciitis following hysterectomy — a case report

1998 ◽  
Vol 24 (2) ◽  
pp. 190-193 ◽  
Author(s):  
M. Loscar ◽  
G. Schelling ◽  
M. Haller ◽  
J. Polasek ◽  
C. Stoll ◽  
...  
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Group A

scholarly journals Group a streptococcal cellulitis in the early puerperium

2011 ◽  
Vol 68 (7) ◽  
pp. 607-610
Author(s):  
Branka Nikolic ◽  
Ana Mitrovic ◽  
Svetlana Dragojevic-Dikic ◽  
Snezana Rakic ◽  
Zlatica Cakic ◽  
...  
Keyword(s):  
Case Report ◽  
Toxic Shock Syndrome ◽  
Early Recognition ◽  
Healthy Woman ◽  
Supportive Therapy ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Short Period ◽  
History Of ◽  
Group A

Introduction. Infectious diseases caused by Streptococcus pyogenes, a member of the group A Streptococci (GAS) are among the most common life threatening ones. Patients with GAS infections have a poor survival rate. Cellulitis is a severe invasive GAS infection and the most common clinical presentation of the disease associated with more deaths than it can be seen in other GAS infections. According to the literature data, most cases of GAS toxic shock syndrome are developed in the puerperium. However, there are two main problems with GAS infection in early puerperium and this case report is aimed at reminding on them. The first problem is an absence of awareness that it can be postpartal invasive GAS infection before the microbiology laboratory confirms it, and the second one is that we have little knowledge about GAS infection, in general. Case report. A 32- year-old healthy woman, gravida 1, para 1, was hospitalized three days after vaginal delivery with a 38-hour history of fever, pain in the left leg (under the knee), and head injury after short period of conscious lost. Clinical picture of GAS infection was cellulites. Group A Streptoccocus pyogenes was isolated in vaginal culture. Rapid antibiotic and supportive treatment stopped development of streptococcal toxic shock syndrome (STSS) and potential multiorganic failure. Signs and symptoms of the infection lasted 25 days, and complete recovery of the patient almost 50 days. Conclusion. In all women in childbed with a history of fever early after delivery, vaginal and cervical culture specimens should be taken as soon as possible. Early recognition of GAS infection in early puerperium and prompt initiation of antimicrobial drug and supportive therapy can prevent development of STSS and lethal outcome.

scholarly journals Neck dissection and streptococcal toxic shock syndrome due to group a streptococci : A case report

2021 ◽  
Vol 31 (1) ◽  
pp. 65-70
Author(s):  
Keitaro Fujii ◽  
Kazuhiro Kishimoto ◽  
Shinkichi Morita ◽  
Satoshi Saijo ◽  
Takayuki Imai ◽  
...  
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Group A Streptococci ◽  
Toxic Shock ◽  
Group A

scholarly journals Pneumonia and Streptococcal Toxic Shock Syndrome Due to Group A Streptococci：A Case Report

2017 ◽  
Vol 91 (2) ◽  
pp. 155-158
Author(s):  
Hideki MAKINO ◽  
Shinji IWATA ◽  
Takayuki KOUDA ◽  
Takahide KATO ◽  
Kotaro KAJIWARA ◽  
...  
Keyword(s):  
Case Report ◽  
Toxic Shock Syndrome ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Group A

scholarly journals Genital Tract GAS Infection ISIDOG Guidelines

2021 ◽  
Vol 10 (9) ◽  
pp. 2043
Author(s):  
Gilbert Donders ◽  
Peter Greenhouse ◽  
Francesca Donders ◽  
Ulrike Engel ◽  
Jorma Paavonen ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Toxic Shock Syndrome ◽  
Early Recognition ◽  
Supportive Therapy ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Aerobic Vaginitis ◽  
Invasive Group ◽  
Neonatal Deaths ◽  
Group A

There has been an increasing worldwide incidence of invasive group A streptococcal (GAS) disease in pregnancy and in the puerperal period over the past 30 years. Postpartum Group A streptococci infection, and in particular streptococcal toxic shock syndrome (TSS) and necrotizing fasciitis, can be life threatening and difficult to treat. Despite antibiotics and supportive therapy, and in some cases advanced extensive surgery, mortality associated with invasive group A streptococcal postpartum endometritis, necrotizing fasciitis, and toxic shock syndrome remains high, up to 40% of postpartum septic deaths. It now accounts for more than 75,000 deaths worldwide every year. Postpartum women have a 20-fold increased incidence of GAS disease compared to non-pregnant women. Despite the high incidence, many invasive GAS infections are not diagnosed in a timely manner, resulting in potentially preventable maternal and neonatal deaths. In this paper the specific characteristics of GAS infection in the field of Ob/Gyn are brought to our attention, resulting in guidelines to improve our awareness, early recognition and timely treatment of the disease. New European prevalence data of vaginal GAS colonization are presented, alongside two original case histories. Additionally, aerobic vaginitis is proposed as a supplementary risk factor for invasive GAS diseases.

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