• Obstetrics and gynecology · Feb 2009

    Case Reports

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

    • Jennifer Linda Daif, Mark Levie, Scott Chudnoff, Bente Kaiser, and Shohreh Shahabi.
    • albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York, USA. daifje@gmail.com
    • Obstet Gynecol. 2009 Feb 1;113(2 Pt 2):504-6.

    BackgroundGroup 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%.CaseA 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.ConclusionThis case demonstrates the need for prompt recognition and treatment of necrotizing fasciitis/toxic shock syndrome.

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