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Related Experiment Videos

Group A Streptococcus causing PID from an initial pharyngeal infection. A case report.

E K Lamb1, J N Anasti, H B Leonetti

  • 1Department of Obstetrics and Gynecology, St. Luke's Hospital, Bethlehem, Pennsylvania 18015, USA. elizabethl@pol.com

The Journal of Reproductive Medicine
|August 12, 1999
PubMed
Summary

Pelvic inflammatory disease (PID) is rare in women with tubal ligation who abstain from intercourse. This case highlights group A Streptococcus as an uncommon cause following an upper respiratory infection.

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Area of Science:

  • Gynecology
  • Infectious Diseases

Background:

  • Pelvic inflammatory disease (PID) presents diagnostic challenges, affecting over 1 million women annually.
  • Atypical organisms and prior tubal ligation can complicate PID diagnosis and treatment.

Observation:

  • A case study of a woman with prior tubal ligation and over two years of sexual abstinence.
  • The patient developed group A streptococcal salpingitis subsequent to an upper respiratory infection.

Findings:

  • Group A Streptococcus caused salpingitis in a patient with risk factors that typically reduce PID likelihood.
  • This indicates PID can occur in unusual circumstances, even with prior tubal ligation and no recent sexual activity.

Implications:

  • Clinicians should maintain a low threshold for suspecting uncommon pathogens in PID cases with atypical patient histories.

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  • This case underscores the importance of considering non-sexually transmitted causes of PID, particularly in women with tubal ligation.