title: Primary group A streptococcal septic shock syndrome simulating perforated appendicitis in a previously healthy girl.
abstract: A previously healthy 6-year-old girl that initially presented with presumed viral gastrointestinal infection for a week and later developed catastrophic primary peritonitis and septic shock requiring resuscitation and emergency exploratory laparotomy without any identifiable intra-abdominal cause of the sepsis and the peritoneal exudates grew group A streptococci. Appropriate antibiotic therapy was instituted and she made a complete recovery.
authors: Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK. ramnik@doctors.org.uk
authors: Ramnik V
authors: RV
authors: Patel
authors: Hemant
authors: H
authors: Kumar
authors: Bharat
authors: B
authors: More
authors: Ashok
authors: A
authors: Rajimwale
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis / Q000175:diagnosis; D002648:Child; D005122:Exudates and Transudates / Q000382:microbiology; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012772:Shock, Septic / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013297:Streptococcus pyogenes
chemical_list: D000900:Anti-Bacterial Agents
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