Ogden E, Amstey M S
Obstet Gynecol. 1978 Jul;52(1):53-5.
A cluster of 5 patients with puerperal infection due to group A beta hemolytic streptococcus (GABHS) is described. The most striking clinical signs included the early onset of uterine tenderness followed by an abrupt temperature elevation to greater than or equal to 102 F. At the time of uterine tenderness (Day 2, postpartum), 4 of 5 patients had gram-stained lochial smears showing a predominance of gram-positive cocci. The cluster of cases occurred with no source of the infection identified after 365 culture attempts. Therapy was rapidly successful with intravenous penicillin.
本文描述了一组5例因A组β溶血性链球菌（GABHS）引起产褥感染的患者。最显著的临床体征包括子宫压痛早发，随后体温突然升高至102华氏度及以上。在子宫压痛时（产后第2天），5例患者中有4例恶露涂片革兰氏染色显示革兰氏阳性球菌占优势。经过365次培养尝试后，仍未确定感染源，出现了这组病例。静脉注射青霉素治疗迅速取得成功。
