Group A Streptococcus Septic Shock after Surgical Abortion: A Case Report and Review of the Literature. (11th September 2017)

• Record Type: Journal Article
• Authors: Tardieu, Stephanie C.; Schmidt, Elizabeth
• Other Names: Hoesli Irene Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2017(2017)
• Publication Date: 2017-09-11
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2017/6316739
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Group A Streptococcus (GAS) causing puerperal sepsis is a leading cause of maternal mortality worldwide. Although rare, GAS infection is a relatively significant public health concern because of its propensity to evolve rapidly into septic shock, streptococcal toxic shock syndrome, and death. We report the case of a 27-year-old patient who presented with GAS septic shock after undergoing a surgical termination of pregnancy and was treated successfully and recovered without sequelae. GAS septic shock should always be included in the differential diagnosis of any patient who develops sepsis after a surgical abortion. Patients with GAS septic shock have a rapid clinical decline and need aggressive fluid management, early initiation of broad-spectrum antibiotics, and rapid surgical intervention.