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Related Experiment Videos

[Puerperal fever: an old enemy in aggressive form]

W A Schöls1, G A Hoogendoorn, P C Scholten

  • 1Afd. Verloskunde en Gynaecologie, Høfpoort Ziekenhuis, Woerden.

Nederlands Tijdschrift Voor Geneeskunde
|April 18, 1998
PubMed
Summary

Group A Streptococcus (GAS) uterine infections can cause severe maternal and infant illness, including sepsis and toxic shock syndrome. Early diagnosis and antibiotic treatment are critical for improving outcomes and reducing mortality.

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Corrigendum. Septum resection in women with a septate uterus: a cohort study.

Human reproduction (Oxford, England)·2020

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Neonatology

Background:

  • Group A Streptococcus (GAS) infections have seen a resurgence since the 1980s, with toxic shock syndrome being a severe manifestation.
  • Uterine infections caused by GAS can occur antepartum or postpartum.

Observation:

  • Three women presented with lower abdominal pain, fever, vomiting, and diarrhea, indicative of uterine infection.
  • Two women developed sepsis and multiorgan failure, one with a fatal outcome.
  • Infants born to infected mothers also developed sepsis, with one fatality.

Findings:

  • All three women were diagnosed with uterine infections caused by group A Streptococcus.
  • Prompt antibiotic treatment in one case led to recovery, while delayed diagnosis in others resulted in severe complications.

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  • GAS infection posed a significant risk to both maternal and neonatal health.

    • Implications:

    • Abdominal pain post-delivery may signal a serious GAS infection, not just afterpains.
    • Timely diagnosis and initiation of antibiotic therapy are crucial for managing GAS infections.
    • Increased vigilance and awareness are necessary to combat the rising incidence of severe GAS infections.