Septic shock and acute respiratory distress syndrome after salpingitis caused by Streptococcus pyogenes group A.
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.
Fikrig
E
E
Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tenn 37232.
Worthington
M T
MT
Lefkowitz
L B
LB
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