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Streptococcal septic shock after inguinal lymphadenectomy.
Suzannah M Bero1, Mary S Brady
1Gastric and Mixed Tumor Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York 10021, USA.
Surgical Infections
|January 20, 2007
Summary
Group B Streptococcus (GBS) can cause rare but severe sepsis in non-pregnant adults. This case highlights GBS as a critical pathogen in fulminating surgical site infections.
Area of Science:
- Infectious Diseases
- Clinical Microbiology
- Sepsis Pathogenesis
Background:
- Group B Streptococcus (GBS) is rarely implicated in sepsis among non-pregnant adults.
- Surgical site infections (SSIs) can lead to severe systemic complications.
Observation:
- A non-pregnant adult female presented with confusion and slurred speech post-operative wound aspiration.
- Clinical signs included hypotension and fever, necessitating urgent surgical intervention.
Findings:
- Infected groin seroma culture confirmed Streptococcus agalactiae (GBS) as the causative agent.
- The patient experienced a life-threatening septic event attributed to GBS.
Implications:
- GBS should be considered a potential pathogen in severe surgical site infections in adults.
- Prompt recognition and management of GBS sepsis are crucial for patient outcomes.
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