title: Streptococcal toxic shock-like syndrome as an unusual complication of laparoscopic tubal ligation. A case report.
abstract: Toxic shock-like syndrome due to Streptococcus pyogenes is an unusual occurrence. Previously reported cases have been the result of focal infections with S pyogenes. We present a case in which manipulation of a colonized mucosal surface during laparoscopic tubal ligation was the presumed cause of the sepsis syndrome. Whereas other reports of this syndrome have all noted concurrent infections with S pyogenes, in this instance it was unclear if toxin-mediated disease was initiated by mild endometritis or iatrogenic manipulation of a colonized mucosal surface.
authors.affiliation: Department of Medicine, Temple University Health Sciences Center, Philadelphia, Pennsylvania 19140.
authors.forename: P
authors.initials: P
authors.lastname: Nyirjesy
authors.forename: R S
authors.initials: RS
authors.lastname: Jones
authors.forename: A
authors.initials: A
authors.lastname: Chatwani
authors.forename: E S
authors.initials: ES
authors.lastname: Zinner
authors.forename: P
authors.initials: P
authors.lastname: Axelrod
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects*; D012772:Shock, Septic / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013246:Sterilization, Tubal / Q000009:adverse effects*; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D013297:Streptococcus pyogenes
chemical_list: D000900:Anti-Bacterial Agents