Severe group a streptococcus infection after thyroidectomy: report of three cases and review.
BACKGROUND
Group A Streptococcus (GAS) is an uncommon cause of infection after clean surgery in non-pregnant adults.


METHODS
Report of three cases and review of the literature. results: For the first time in France, severe GAS infections were observed in three patients who underwent thyroidectomy at three hospitals. Two of them developed streptococcal toxic shock syndrome.


CONCLUSIONS
Better knowledge of physiopathologic mechanisms would help in the detection and prevention of severe GAS infections.
Faibis
Frederic
F
Laboratoire de Microbiologie, Hôpital de Meaux, Meaux, France. f-faibis@ch-meaux.fr
Sapir
David
D
Luis
David
D
Laigneau
Patrice
P
Lepoutre
Agnes
A
Pospisil
Florence
F
Borgey
France
F
Demachy
Marie-Claude
MC
Botterel
Françoise
F
D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D012720:Severity of Illness Index; D012772:Shock, Septic / Q000382:microbiology; D013290:Streptococcal Infections / Q000382:microbiology / Q000503:physiopathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D013530:Surgical Wound Infection / Q000382:microbiology / Q000503:physiopathology; D013965:Thyroidectomy / Q000009:adverse effects*