title: Initially unrecognised group A streptococcal pelvic inflammatory disease in a postmenopausal woman.
abstract: Invasive group A streptococcal infection is a severe disease with high mortality. Invasive group A streptococcal infection may arise after pelvic inflammatory disease. Pelvic inflammatory disease in postmenopausal women is rare. Here, we report a unique case of a postmenopausal woman with fatal invasive group A streptococcal infection due to pelvic inflammatory disease and an extraordinary course of diagnosis.
authors.affiliation: Departments of Intensive Care and Emergency Medicine, Jeroen Bosch Hospital, Den Bosch, the Netherlands.
authors.forename: I J E
authors.initials: IJ
authors.lastname: Kouijzer
authors.forename: F N
authors.initials: FN
authors.lastname: Polderman
authors.forename: E M
authors.initials: EM
authors.lastname: Bekers
authors.forename: P H C J
authors.initials: PH
authors.lastname: Bloks
authors.forename: P M
authors.initials: PM
authors.lastname: Schneeberger
authors.forename: C P C
authors.initials: CP
authors.lastname: de Jager
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000382:microbiology; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008297:Male; D000292:Pelvic Inflammatory Disease / Q000382:microbiology*; D017698:Postmenopause; D012772:Shock, Septic / Q000382:microbiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis*; D013297:Streptococcus pyogenes