Tardieu Stephanie C, Schmidt Elizabeth
Department of Obstetrics and Gynecology, Hofstra Northwell School of Medicine, Hofstra University, North Shore-LIJ University Hospital, 270-05 76th Avenue, New Hyde Park, NY 11040, USA.
Case Rep Obstet Gynecol. 2017;2017:6316739. doi: 10.1155/2017/6316739. Epub 2017 Sep 11.
Group A (GAS) causing puerperal sepsis is a leading cause of maternal mortality worldwide. Although rare, GAS infection is a relatively significant public health concern because of its propensity to evolve rapidly into septic shock, streptococcal toxic shock syndrome, and death. We report the case of a 27-year-old patient who presented with GAS septic shock after undergoing a surgical termination of pregnancy and was treated successfully and recovered without sequelae. GAS septic shock should always be included in the differential diagnosis of any patient who develops sepsis after a surgical abortion. Patients with GAS septic shock have a rapid clinical decline and need aggressive fluid management, early initiation of broad-spectrum antibiotics, and rapid surgical intervention.
A组链球菌（GAS）引起的产褥期败血症是全球孕产妇死亡的主要原因。尽管罕见，但由于GAS感染易于迅速发展为感染性休克、链球菌中毒性休克综合征和死亡，因此是一个相对重要的公共卫生问题。我们报告了一例27岁患者的病例，该患者在接受人工终止妊娠手术后出现GAS感染性休克，经成功治疗后康复且无后遗症。对于任何在人工流产后发生败血症的患者，GAS感染性休克都应始终列入鉴别诊断。GAS感染性休克患者临床病情迅速恶化，需要积极的液体管理、尽早开始使用广谱抗生素以及迅速进行手术干预。
