Group a streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy

Jennifer Linda Daif, Mark D. Levie, Scott Chudnoff, Bente Kaiser, Shohreh Shahabi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Group A Streptococcus is an aerobic gram-positive bacteria known to cause cutaneous infections. Invasive infections can lead to toxic shock syndrome with multiorgan failure and mortality rates of 25-48%. Case: A healthy, young woman developed necrotizing fasciitis, myonecrosis, and toxic shock syndrome after an elective medical termination of pregnancy. This patient had confirmed group A Streptococcus on blood cultures and underwent surgical debridement. After aggressive surgical treatment, below-the-knee amputation, and antibiotic therapy, the patient survived. Conclusion: This case demonstrates the need for prompt recognition and treatment of necrotizing fasciitis/toxic shock syndrome.

Original languageEnglish (US)
Pages (from-to)504-506
Number of pages3
JournalObstetrics and Gynecology
Volume113
Issue number2 PART 2
DOIs
StatePublished - Feb 2009

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Necrotizing Fasciitis
Septic Shock
Streptococcus
Pregnancy
Aerobic Bacteria
Gram-Positive Bacteria
Debridement
Infection
Amputation
Knee
Therapeutics
Anti-Bacterial Agents
Skin
Mortality

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Group a streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy. / Daif, Jennifer Linda; Levie, Mark D.; Chudnoff, Scott; Kaiser, Bente; Shahabi, Shohreh.

In: Obstetrics and Gynecology, Vol. 113, No. 2 PART 2, 02.2009, p. 504-506.

Research output: Contribution to journalArticle

Daif, Jennifer Linda ; Levie, Mark D. ; Chudnoff, Scott ; Kaiser, Bente ; Shahabi, Shohreh. / Group a streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy. In: Obstetrics and Gynecology. 2009 ; Vol. 113, No. 2 PART 2. pp. 504-506.
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