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dc.contributor.authorSnyder, A.
dc.contributor.authorSchmalzle, S.A.
dc.date.accessioned2020-05-18T19:43:57Z
dc.date.available2020-05-18T19:43:57Z
dc.date.issued2020
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85084209203&doi=10.1016%2fj.idcr.2020.e00785&partnerID=40&md5=3a61d70ec0e7d811c2cfa30a14cecc80
dc.identifier.urihttp://hdl.handle.net/10713/12778
dc.description.abstractStreptococcus pyogenes gynecological infections generally occur in association with childbirth, intra-uterine devices, and other invasive gynecologic procedures, but rarely cause spontaneous pelvic inflammatory disease. We describe a case of a healthy young woman with spontaneous S. pyogenes pelvic inflammatory disease, bacteremia, and shock, and summarize an additional 13 cases found in the literature. The majority were bacteremic and a significant number were also hypotensive. The same proportion had presenting gastrointestinal symptoms as had genitourinary symptoms, masking the diagnosis in many. Many prior case reports postulate a connection with S. pyogenes pharyngitis in a close contact, and an oro-genital route of transmission has been proposed given the exceedingly low rates of genital colonization with S. pyogenes. A high index of suspicion is needed for an accurate and timely diagnosis of this rare but potentially fatal condition. Copyright 2020 The Author(s)en_US
dc.description.urihttps://doi.org/10.1016/j.idcr.2020.e00785en_US
dc.language.isoen_USen_US
dc.publisherElsevier Ltden_US
dc.relation.ispartofIDCases
dc.subjectEndometritisen_US
dc.subjectGroup a strepen_US
dc.subjectGynecologyen_US
dc.subjectPelvic inflammatory diseaseen_US
dc.subjectSalpingitisen_US
dc.subjectStreptococcus pyogenesen_US
dc.titleSpontaneous Streptococcus pyogenes pelvic inflammatory disease; Case report and review of the literatureen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.idcr.2020.e00785


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