Necrotizing cervical and uterine infection in the postpartum period caused by group A streptococcus.
BACKGROUND: Group A Streptococcus, once the most common causes of puerperal sepsis, is now a rare cause of postpartum fever.
CASE: A term 27-year-old woman presented after spontaneous membrane rupture. After an uncomplicated vaginal delivery, she became febrile without a source of infection. Despite two different antibiotic regimens, she remained febrile for 3 days. A computed tomography scan showed a wedge-shaped discontinuity in the anterior uterus suggesting uterine infection with early abscess formation. The patient underwent exploratory laparotomy and hysterectomy, with an uneventful postoperative course. Uterine pathology revealed a necrotizing infection within the uterus and cervix from Group A Streptococcus.
CONCLUSION: Puerperal sepsis from Group A Streptococcus can be a cause of necrotizing infection following delivery. Physicians should be aware of the resurgence of this potentially fatal pathogen.
2 Pt 2
Published In/Presented At
Castagnola, D. E., Hoffman, M. K., Carlson, J., & Flynn, C. (2008). Necrotizing cervical and uterine infection in the postpartum period caused by group A streptococcus. Obstetrics and gynecology, 111(2 Pt 2), 533–535. https://doi.org/10.1097/01.AOG.0000284453.41550.66
Medicine and Health Sciences
Department of Obstetrics and Gynecology