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Case Reports
. 2020 Mar 16;8(5):793-797.
doi: 10.1002/ccr3.2799. eCollection 2020 May.

A rare case of group A streptococcal toxic-shock syndrome in a postpartum adolescent leading to multi-organ failure

Samuel Cortez Granados  1 , Jonathan Batsch  1 , Asona Lui  1 , Jacob Hessman  1 , Nika Gloyeske  2 , Apurva Panchal  3
Affiliations
Case Reports

A rare case of group A streptococcal toxic-shock syndrome in a postpartum adolescent leading to multi-organ failure

Samuel Cortez Granados et al. Clin Case Rep. .

Abstract

Teenage pregnancy is not uncommon, but given the age of the patient, experience, and competency among medical providers varies. While toxic-shock syndrome from group A streptococcus is rare in teenage pregnancy, observed is a gap in care of bridging.

Keywords: hysterectomy; intravenous immunoglobulin; pregnancy; teenager; toxic‐shock syndrome.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
CT abdomen and pelvis, sagittal view. HMG (28 cm), SMG (17.5 cm), hepatic steatosis, small/trace amounts of ascites, enlarged uterus, and tiny pockets of air in the endometrial canal
Figure 2
Figure 2
Gross examination of the uterus upon removal. Examination is consistent with the size of a postpartum uterus. Marked necrotic changes in the endometrium can be visualized, along with disruption of normal uterine architecture, all consistent with GAS endometritis
Figure 3
Figure 3
A, Fallopian tubes. Acute inflammatory infiltration into the fallopian tube plicae (H&E, 200×). B, Uterus. Marked acute and chronic inflammation intermixed with fibrin and necrosis of the endometrial lining overlying rare preserved endometrial glands with hemorrhage and pregnancy‐related changes in the left lower corner (H&E, 100×)
Figure 4
Figure 4
EKG with sinus tachycardia and inferior limb ST segment elevation and lateral limb lead ST segment depression
See this image and copyright information in PMC

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