title: Severe group a streptococcus infection after thyroidectomy: report of three cases and review.
abstract: 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.
authors.affiliation: Laboratoire de Microbiologie, Hôpital de Meaux, Meaux, France. f-faibis@ch-meaux.fr
authors.forename: Frederic
authors.initials: F
authors.lastname: Faibis
authors.forename: David
authors.initials: D
authors.lastname: Sapir
authors.forename: David
authors.initials: D
authors.lastname: Luis
authors.forename: Patrice
authors.initials: P
authors.lastname: Laigneau
authors.forename: Agnes
authors.initials: A
authors.lastname: Lepoutre
authors.forename: Florence
authors.initials: F
authors.lastname: Pospisil
authors.forename: France
authors.initials: F
authors.lastname: Borgey
authors.forename: Marie-Claude
authors.initials: MC
authors.lastname: Demachy
authors.forename: Françoise
authors.initials: F
authors.lastname: Botterel
mesh_terms: 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*