Case report: An unusual presentation of puerperal sepsis
Group A Streptococcus (GAS; Streptococcus pyogenes) is a facultative gram-positive coccus, uncommonly colonizing parturient genitalia, where its presence can potentially lead to a life-threatening invasive infection after delivery. GAS infection typically occurs within the first 4 days post-partum a...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.990731/full |
| _version_ | 1818083975910916096 |
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| author | Doron Kabiri Diana Prus Roie Alter Gali Gordon Shay Porat Yossef Ezra |
| author_facet | Doron Kabiri Diana Prus Roie Alter Gali Gordon Shay Porat Yossef Ezra |
| author_sort | Doron Kabiri |
| collection | DOAJ |
| description | Group A Streptococcus (GAS; Streptococcus pyogenes) is a facultative gram-positive coccus, uncommonly colonizing parturient genitalia, where its presence can potentially lead to a life-threatening invasive infection after delivery. GAS infection typically occurs within the first 4 days post-partum and is characterized by high fever, chills, flashing, abdominal pain, and uterine tenderness. Nonetheless, patients with GAS puerperal sepsis may have an unusual presentation, when fever is absent, and the symptoms and signs can be mild, non-specific, and not indicative of the severity of infection. This unusual presentation may lead to a delayed diagnosis and increase the risk for severe puerperal sepsis. Therefore, in these cases, a high index of suspicion and prompt early antibiotic and surgical treatment is crucial to saving the parturient’s life. |
| first_indexed | 2024-12-10T19:46:32Z |
| format | Article |
| id | doaj.art-434151dab78044b29f0239842173a642 |
| institution | Directory Open Access Journal |
| issn | 2296-858X |
| language | English |
| last_indexed | 2024-12-10T19:46:32Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj.art-434151dab78044b29f0239842173a6422022-12-22T01:35:52ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-08-01910.3389/fmed.2022.990731990731Case report: An unusual presentation of puerperal sepsisDoron Kabiri0Diana Prus1Roie Alter2Gali Gordon3Shay Porat4Yossef Ezra5Department of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelDepartment of Pathology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelDepartment of Obstetrics and Gynecology, Hadassah Medical Center, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, IsraelGroup A Streptococcus (GAS; Streptococcus pyogenes) is a facultative gram-positive coccus, uncommonly colonizing parturient genitalia, where its presence can potentially lead to a life-threatening invasive infection after delivery. GAS infection typically occurs within the first 4 days post-partum and is characterized by high fever, chills, flashing, abdominal pain, and uterine tenderness. Nonetheless, patients with GAS puerperal sepsis may have an unusual presentation, when fever is absent, and the symptoms and signs can be mild, non-specific, and not indicative of the severity of infection. This unusual presentation may lead to a delayed diagnosis and increase the risk for severe puerperal sepsis. Therefore, in these cases, a high index of suspicion and prompt early antibiotic and surgical treatment is crucial to saving the parturient’s life.https://www.frontiersin.org/articles/10.3389/fmed.2022.990731/fullmaternal sepsispuerperal sepsismaternal mortalityinfection in pregnancyGroup A Streptococcus |
| spellingShingle | Doron Kabiri Diana Prus Roie Alter Gali Gordon Shay Porat Yossef Ezra Case report: An unusual presentation of puerperal sepsis Frontiers in Medicine maternal sepsis puerperal sepsis maternal mortality infection in pregnancy Group A Streptococcus |
| title | Case report: An unusual presentation of puerperal sepsis |
| title_full | Case report: An unusual presentation of puerperal sepsis |
| title_fullStr | Case report: An unusual presentation of puerperal sepsis |
| title_full_unstemmed | Case report: An unusual presentation of puerperal sepsis |
| title_short | Case report: An unusual presentation of puerperal sepsis |
| title_sort | case report an unusual presentation of puerperal sepsis |
| topic | maternal sepsis puerperal sepsis maternal mortality infection in pregnancy Group A Streptococcus |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.990731/full |
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