[A postpartum woman with toxic shock syndrome: group A streptococcal infection, a much feared postpartum complication.] / Een kraamvrouw met toxische-shocksyndroom.
Ned Tijdschr Geneeskd
; 160: D185, 2016.
Article
en Nl
| MEDLINE
| ID: mdl-27848904
ABSTRACT
BACKGROUND:
The development of toxic shock syndrome (TSS) after an invasive group A streptococcal (GAS) infection in the postpartum period is a much feared complication. The mortality rate of TSS with necrotizing fasciitis is 30 to 50%. CASE DESCRIPTION We present the case of a woman with atypical pelvic pain which was the first symptom of toxic shock syndrome as a consequence of a GAS infection. Clinical deterioration necessitated a hysterectomy. Also a fasciotomy was performed as consequence of lower extremity compartment syndrome. After this, multiple debridement operations were necessary, followed by split skin grafts.CONCLUSION:
This case illustrates the extremely serious complications of GAS infection. In some cases aggressive surgical intervention is necessary, in addition to an optimal antibiotic treatment regime. Ideally, the treatment of a GAS-induced TSS should be managed by a multidisciplinary medical team.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infección Puerperal
/
Choque Séptico
/
Infecciones Estreptocócicas
/
Periodo Posparto
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Female
/
Humans
Idioma:
Nl
Revista:
Ned Tijdschr Geneeskd
Año:
2016
Tipo del documento:
Article