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Review Case Reports
Streptococcal toxic shock-like syndrome as an unusual complication of laparoscopic tubal ligation. A case report.
- P Nyirjesy, R S Jones, A Chatwani, E S Zinner, and P Axelrod.
- Department of Medicine, Temple University Health Sciences Center, Philadelphia, Pennsylvania 19140.
- J Reprod Med. 1994 Aug 1;39(8):649-51.
AbstractToxic shock-like syndrome due to Streptococcus pyogenes is an unusual occurrence. Previously reported cases have been the result of focal infections with S pyogenes. We present a case in which manipulation of a colonized mucosal surface during laparoscopic tubal ligation was the presumed cause of the sepsis syndrome. Whereas other reports of this syndrome have all noted concurrent infections with S pyogenes, in this instance it was unclear if toxin-mediated disease was initiated by mild endometritis or iatrogenic manipulation of a colonized mucosal surface.
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