Streptococcal Toxic Shock Syndrome: Life Saving Role of Peritoneal Lavage and Drainage

PURPOSE: We encountered a case where an infection with group A streptococcus (GAS; ie, Streptococcus pyogenes) initially caused primary peritonitis and then subsequently caused streptococcal toxic shock syndrome. The patient's life was likely saved by an emergency laparotomy followed by extensi...

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Bibliographic Details
Published in:Clinical Medicine Insights: Case Reports 2016, Vol.2016 (2016), p.75-77
Main Authors: Yokoyama, Minako, Oyama, Fumie, Ito, Asami, Yokota, Megumi, Matsukura, Daisuke, Tsutsumi, Shinji, Kasai, Tomonori, Nitobe, Yohshiro, Morikawa, Akiko, Ozaki, Takashi, Yokoyama, Yoshihito
Format: Article
Language:English
Subjects:
Case Report
Case reports
Gram-positive bacteria
Laparotomy
Peritonitis
Product safety
Streptococcus infections
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Summary:PURPOSE: We encountered a case where an infection with group A streptococcus (GAS; ie, Streptococcus pyogenes) initially caused primary peritonitis and then subsequently caused streptococcal toxic shock syndrome. The patient's life was likely saved by an emergency laparotomy followed by extensive peritoneal lavage and drainage. CASE PRESENTATION: A 40-year-old woman was admitted to the Emergency Department for lower abdominal pain and numbness in the extremities. She presented with systemic inflammatory response syndrome. An emergency laparotomy was performed, and ascites that resembled pus and general peritonitis were noted. Peritoneal lavage and drainage were performed, and GAS was isolated from peritoneal fluid. Gram staining of cervical polyp specimens revealed Gram-positive bacteria. CONCLUSIONS: The patient was diagnosed with streptococcal toxic shock syndrome due to an ascending GAS infection originating from vagina.
ISSN:1179-5476
1179-5476
DOI:10.4137/CCRep.S40217