Singhal Akhil, Alomari Mohammad, Gupta Shivangi, Almomani Shaden, Khazaaleh Shrouq
Internal Medicine, Cleveland Clinic Foundation, Cleveland, USA.
Internal Medicine, Cleveland Clinic Foundation, Johnson city, USA.
Cureus. 2019 May 8;11(5):e4618. doi: 10.7759/cureus.4618.
Group A streptococcus (GAS) is a rare yet potentially lethal cause of postpartum endometritis. Atypical early presentation and the routine use of post-delivery analgesics which might mask the symptoms preclude timely diagnosis and appropriate management. The invasive disease usually follows a rapidly progressive course that has considerable morbidity and mortality. Streptococcal toxic shock syndrome (TSS) can complicate this condition leading to refractory septic shock and possible death. We hereby present a case of a 42-year-old female patient who developed GAS postpartum endometritis complicated by streptococcal TSS resulting in death despite enormous resuscitative efforts. We aim to increase awareness of this lethal condition highlighting the importance of early recognition and prompt management.
A组链球菌（GAS）是产后子宫内膜炎一种罕见但可能致命的病因。非典型的早期表现以及产后常规使用的镇痛药可能掩盖症状，妨碍及时诊断和恰当治疗。侵袭性疾病通常进展迅速，具有相当高的发病率和死亡率。链球菌中毒性休克综合征（TSS）可使这种情况复杂化，导致难治性感染性休克并可能致死。我们在此报告一例42岁女性患者，她发生了GAS产后子宫内膜炎并伴有链球菌TSS，尽管进行了巨大的复苏努力仍导致死亡。我们旨在提高对这种致命疾病的认识，强调早期识别和及时治疗的重要性。
