title: Atypical presentation of abdominal group A streptococcal-necrotizing fasciitis after pessary removal.
abstract: Group A streptococcal (GAS) necrotizing fasciitis is a potentially life-threatening infection. We report on a patient with a history of prolonged pessary use with traumatic removal who developed ascending GAS infection in her gynecologic organs that tracked along the round ligament to her anterior abdominal wall.
authors.affiliation: Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Louisville Medical Center, Louisville, KY 40202, USA. mrmila01@louisville.edu
authors.forename: Michael R
authors.initials: MR
authors.lastname: Milam
authors.forename: Elaine
authors.initials: E
authors.lastname: Stauble
authors.forename: R Ashley
authors.initials: RA
authors.lastname: Milam
mesh_terms: D034861:Abdominal Wall / Q000382:microbiology / Q000601:surgery; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000382:microbiology* / Q000601:surgery; D006801:Humans; D010570:Pessaries / Q000009:adverse effects*; D013290:Streptococcal Infections / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D013297:Streptococcus pyogenes
chemical_list: D000900:Anti-Bacterial Agents