title: Septic shock and acute respiratory distress syndrome after salpingitis caused by Streptococcus pyogenes group A.
abstract: A 32-year-old woman with acute salpingitis had signs and symptoms of sepsis, with hypotension, renal failure, acute respiratory distress syndrome, and disseminated intravascular coagulation. Streptococcus pyogenes group A was grown from blood cultures taken at the onset of illness, and salpingitis was confirmed at laparotomy. The patient recovered after appropriate antimicrobial and intensive supportive therapy.
authors.affiliation: Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tenn 37232.
authors.forename: E
authors.initials: E
authors.lastname: Fikrig
authors.forename: M T
authors.initials: MT
authors.lastname: Worthington
authors.forename: L B
authors.initials: LB
authors.lastname: Lefkowitz
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D012128:Respiratory Distress Syndrome / Q000209:etiology*; D012488:Salpingitis / Q000209:etiology*; D012772:Shock, Septic / Q000209:etiology*; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification