Acute fatal group A Streptococcal primary peritonitis following vaginal delivery
Acute primary peritonitis due to group A streptococci (GAS) is a rare but life-threatening disease most often seen in case of liver cirrhosis or nephrotic syndrome. The specific mechanism of this infection remains unknown and according to the literature hematogenous, lymphatic, retrograde inoculatio...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-01-01
|
| Series: | IDCases |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250920300354 |
| _version_ | 1819126242414166016 |
|---|---|
| author | Mohamed Aziz Daghmouri Fatma Zahra Affes Alia Jebri Raja Boussassi Sonia Ben Hamouda Badreddine Bouguerra Mohamed Houissa |
| author_facet | Mohamed Aziz Daghmouri Fatma Zahra Affes Alia Jebri Raja Boussassi Sonia Ben Hamouda Badreddine Bouguerra Mohamed Houissa |
| author_sort | Mohamed Aziz Daghmouri |
| collection | DOAJ |
| description | Acute primary peritonitis due to group A streptococci (GAS) is a rare but life-threatening disease most often seen in case of liver cirrhosis or nephrotic syndrome. The specific mechanism of this infection remains unknown and according to the literature hematogenous, lymphatic, retrograde inoculation from the genitourinary tract and translocation of intestinal tract flora have all been proposed. We report a case of a 37-year-old previously healthy patient who presented to the emergency, four days after vaginal delivery, with abdominal pain and septic shock. Acute peritonitis was diagnosed and peritoneal and blood culture revealed group A streptococci. Unfortunately, the patient died within 12 h despite adequate resuscitation and antimicrobials. The present case report highlights the importance of an early diagnosis with an adequate therapy in case of GAS peritonitis after vaginal delivery. Keywords: Group A streptococcus, Primary peritonitis, Streptococcal toxic syndrome, Vaginal delivery |
| first_indexed | 2024-12-22T07:52:55Z |
| format | Article |
| id | doaj.art-f5c1c4d0d8a6429ea2a76f26b0748fcb |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-12-22T07:52:55Z |
| publishDate | 2020-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-f5c1c4d0d8a6429ea2a76f26b0748fcb2022-12-21T18:33:27ZengElsevierIDCases2214-25092020-01-0119Acute fatal group A Streptococcal primary peritonitis following vaginal deliveryMohamed Aziz Daghmouri0Fatma Zahra Affes1Alia Jebri2Raja Boussassi3Sonia Ben Hamouda4Badreddine Bouguerra5Mohamed Houissa6Department of Anesthesia, Charles Nicolle Hospital, Tunis, Tunisia; Corresponding author.Department of Gynecology, Charles Nicolle Hospital, Tunis, TunisiaDepartment of Anesthesia, Charles Nicolle Hospital, Tunis, TunisiaDepartment of Anesthesia, Charles Nicolle Hospital, Tunis, TunisiaDepartment of Gynecology, Charles Nicolle Hospital, Tunis, TunisiaDepartment of Gynecology, Charles Nicolle Hospital, Tunis, TunisiaDepartment of Anesthesia, Charles Nicolle Hospital, Tunis, TunisiaAcute primary peritonitis due to group A streptococci (GAS) is a rare but life-threatening disease most often seen in case of liver cirrhosis or nephrotic syndrome. The specific mechanism of this infection remains unknown and according to the literature hematogenous, lymphatic, retrograde inoculation from the genitourinary tract and translocation of intestinal tract flora have all been proposed. We report a case of a 37-year-old previously healthy patient who presented to the emergency, four days after vaginal delivery, with abdominal pain and septic shock. Acute peritonitis was diagnosed and peritoneal and blood culture revealed group A streptococci. Unfortunately, the patient died within 12 h despite adequate resuscitation and antimicrobials. The present case report highlights the importance of an early diagnosis with an adequate therapy in case of GAS peritonitis after vaginal delivery. Keywords: Group A streptococcus, Primary peritonitis, Streptococcal toxic syndrome, Vaginal deliveryhttp://www.sciencedirect.com/science/article/pii/S2214250920300354 |
| spellingShingle | Mohamed Aziz Daghmouri Fatma Zahra Affes Alia Jebri Raja Boussassi Sonia Ben Hamouda Badreddine Bouguerra Mohamed Houissa Acute fatal group A Streptococcal primary peritonitis following vaginal delivery IDCases |
| title | Acute fatal group A Streptococcal primary peritonitis following vaginal delivery |
| title_full | Acute fatal group A Streptococcal primary peritonitis following vaginal delivery |
| title_fullStr | Acute fatal group A Streptococcal primary peritonitis following vaginal delivery |
| title_full_unstemmed | Acute fatal group A Streptococcal primary peritonitis following vaginal delivery |
| title_short | Acute fatal group A Streptococcal primary peritonitis following vaginal delivery |
| title_sort | acute fatal group a streptococcal primary peritonitis following vaginal delivery |
| url | http://www.sciencedirect.com/science/article/pii/S2214250920300354 |
| work_keys_str_mv | AT mohamedazizdaghmouri acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT fatmazahraaffes acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT aliajebri acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT rajaboussassi acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT soniabenhamouda acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT badreddinebouguerra acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery AT mohamedhouissa acutefatalgroupastreptococcalprimaryperitonitisfollowingvaginaldelivery |