Streptococcal septic shock after inguinal lymphadenectomy.
BACKGROUND
Group B Streptococcus is an uncommon cause of sepsis in the non-pregnant adult.


METHODS
Case report and review of the pertinent English-language literature.


RESULTS
A woman who developed confusion and slurred speech five days after aspiration of a postoperative wound seroma is presented. The patient had hypotension and fever and required emergency drainage of an infected seroma of the groin. Wound culture identified Streptococcus agalactiae as the infecting agent.


CONCLUSIONS
Life-threatening sepsis caused by group B streptococci in adults is rare, but the organism must be considered as a potential pathogen in fulminating surgical site infection.
Bero
Suzannah M
SM
Gastric and Mixed Tumor Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Brady
Mary S
MS
D000368:Aged; D005260:Female; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery*; D007866:Leg / Q000473:pathology; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000379:methods; D008198:Lymph Nodes / Q000601:surgery*; D012772:Shock, Septic / Q000382:microbiology*; D013290:Streptococcal Infections / Q000382:microbiology*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*