Generalized Shwartzman reaction caused by group A beta-hemolytic Streptococcus, resulting in maternal death. A case report.
Group A beta-hemolytic Streptococcus is a rare cause of peripartum infection, but it remains an extremely virulent pathogen with devastating consequences, thus requiring awareness of its presentation. We describe a case of fulminant group A Streptococcus sepsis resulting in a generalized Shwartzman reaction and death in a woman 48 hours postpartum.
Slowey
M J
MJ
Department of Obstetrics and Gynecology, Humana-Michael Reese Hospital, University of Illinois, Chicago.
Piacquadio
K M
KM
D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D018805:Sepsis / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D012790:Shwartzman Phenomenon / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology* / Q000628:therapy; D013297:Streptococcus pyogenes; D013997:Time Factors