title: A severe puerperal group A streptococcal infection causing a toxic shock-like syndrome.
abstract: Toxic shock syndrome (TSS) is classically associated with vaginal recovery of Staphylococcus aureus during menses. In this case a patient presented with fever, rash, abdominal pain and signs of shock, 6 days postpartum. Blood cultures were negative but endometrial cultures were positive for Group A beta-hemolytic streptococcus. This case presents a toxic shock-like syndrome due to streptococcus, (toxic streptococcus syndrome) and points out the importance of culturing these patients for organisms other than Staphylococcus aureus.
authors.affiliation: Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas.
authors.forename: M C
authors.initials: MC
authors.lastname: Snabes
authors.forename: M G
authors.initials: MG
authors.lastname: Martens
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D011645:Puerperal Infection / Q000175:diagnosis / Q000382:microbiology*; D012772:Shock, Septic / Q000175:diagnosis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis; D013297:Streptococcus pyogenes