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

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

Research output: Contribution to journalArticle

12 Scopus citations

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 1 2009

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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