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A severe puerperal group A streptococcal infection causing a toxic shock‐like syndrome
Author(s) -
Snabes M.C.,
Martens M.G.
Publication year - 1993
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(93)90838-n
Subject(s) - toxic shock syndrome , staphylococcus aureus , streptococcus , shock (circulatory) , rash , medicine , group a , group b , microbiology and biotechnology , abdominal pain , streptococcus agalactiae , immunology , biology , bacteria , genetics
Toxic shock syndrome (TSS) is classically associated with vaginal recovery of Staphylococcus aureus during menses. In this case a patient presented with fever, rash, abdominal pain and signs of shock, 6 days postpartum. Blood cultures were negative but endometrial cultures were positive for Group A β‐hemolytic streptococcus. This case presents a toxic shock‐like syndrome due to streptococcus, (toxic streptococcus syndrome) and points out the importance of culturing these patients for organisms other than Staphylococcus aureus.

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