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Group A Streptococcal Toxic Shock Syndrome after a Routine Gynecological Procedure

机译:常规妇科手术后群中孢子虫有毒休克综合征

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Streptococcal toxic shock syndrome (STSS) is a life-threatening illness mainly caused by invasive group A Streptococcus (GAS) infection. Herein, we report a case of a postmenopausal woman who developed STSS from an ascending vaginal GAS infection after cytocervical sampling. The patient complained of vaginal discharge, for which she underwent gynecological examination with vaginal sampling. The following day, there was onset of diarrhea and vomiting. After 7 days, she was admitted to our hospital with septic shock. Necrotizing enterocolitis was suspected and surgical intervention was performed; however, the patient was diagnosed with primary peritonitis and antibiotics were initiated. On day 2, GAS was suspected by blood cultures, and antibiotics were changed in consideration of STSS. On day 4, GAS was confirmed in blood, ascitic fluid, and vaginal swab specimens, and STSS caused by an ascending vaginal GAS infection was diagnosed. This case report indicates that STSS could occur following cytocervical sampling for vaginal discharge. If a woman has unexplained septic shock, especially with gastroenteritis symptoms, STSS should be considered as a differential diagnosis.
机译:链球菌毒性休克综合征(STSS)是一种主要由侵袭性群体(气体)感染引起的危及生命的疾病。在此,我们举报了一种蛋白软缺眠妇女的病例,其在细胞间隔抽样后从上行阴道气体感染的STSS开发出STS。患者抱怨阴道分泌物,她在哪些过程中进行了阴道抽样进行妇科检查。第二天,有腹泻和呕吐的开始。 7天后,她患上了腐败的医院。怀疑肠结肠炎是怀疑的,并进行手术干预;然而,患者被诊断出患有原发性腹膜炎和抗生素。在第2天,通过血液培养怀疑气体,并考虑到STSS来改变抗生素。在第4天,在血液,腹水和阴道拭子标本中证实了气体,并且诊断出由上升阴道气体感染引起的STS。本病例报告表明,STSS可能在阴道分泌物进行细胞间采样后发生。如果一个女人具有无法解释的化脓性休克,特别是胃肠炎症状,STS应该被视为鉴别诊断。

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