title: Peripartum group A streptococcal sepsis: a case report.
abstract: BACKGROUND
  Infections of the upper respiratory tract and skin are commonly attributed to group A Streptococcus (GAS). The organism can be found in the female genital tract and can cause peripartum sepsis in rare cases.
  
  
  METHODS
  A case of GAS peripartum sepsis did not respond to conservative measures despite early initiation of intravenous antibiotics. Radical surgical intervention improved the condition.
  
  
  CONCLUSIONS
  A GAS uterine infection should be suspected at an early stage in cases of puerperal pyrexis that do not respond to broad-spectrum antibiotics.
authors.affiliation: Department of Obstetrics and Gynaecology, Queens's Medical Centre, Nottingham, UK. singhrajpal@hotmail.com
authors.forename: Manisha
authors.initials: M
authors.lastname: Palep-Singh
authors.forename: Jay
authors.initials: J
authors.lastname: Jayaprakasan
authors.forename: James F
authors.initials: JF
authors.lastname: Hopkisson
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011645:Puerperal Infection / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D018805:Sepsis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D016896:Treatment Outcome; D014591:Uterine Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery
chemical_list: D000890:Anti-Infective Agents