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Case Reports
. 2017 May;129(5):907-910.
doi: 10.1097/AOG.0000000000001967.

Successful Continuation of Pregnancy After Treatment of Group A Streptococci Sepsis

Ali Alhousseini  1 , Mia E Layne, Bernard Gonik, David Bryant, Sanjay Patwardhan, Manasi Patwardhan
Affiliations
Case Reports

Successful Continuation of Pregnancy After Treatment of Group A Streptococci Sepsis

Ali Alhousseini et al. Obstet Gynecol. 2017 May.

Abstract

Background: Invasive group A streptococci infections in pregnancy have historically led to severe maternal and neonatal morbidity and mortality. We are reporting a rare and novel case of successful treatment of third-trimester group A streptococci infection with early, aggressive intervention and maintenance of the pregnancy to term.

Case: A 35 year old woman initially presented with fever, flu-like symptoms, and preterm contractions at 34 weeks of gestation. She demonstrated signs of early stages of septic shock, ultimately attributed to group A streptococci bacteremia. Early, aggressive intervention allowed the pregnancy to continue until 38 weeks of gestation with normal maternal and neonatal outcomes.

Conclusion: Early and aggressive treatment of invasive group A streptococci infection during pregnancy can potentially avoid severe maternal and perinatal morbidity and mortality with a successful continuation of pregnancy.

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References

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