Primary Peritonitis Due to Group A Streptococcus

2000 ◽  
Vol 30 (3) ◽  
pp. 332-335 ◽  
Author(s):  
Morry Moskovitz ◽  
Eric Ehrenberg ◽  
Robert Grieco ◽  
Bruce Chamovitz ◽  
Marshall Burke ◽  
...  
Keyword(s):  
Group A Streptococcus ◽  
Primary Peritonitis ◽  
Group A

scholarly journals Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient

2012 ◽  
Vol 23 (3) ◽  
pp. e69-e70 ◽  
Author(s):  
R Holden ◽  
A Wilmer ◽  
T Kollman
Keyword(s):  
Toxic Shock Syndrome ◽  
Group A Streptococcus ◽  
Present Report ◽  
Blood Cultures ◽  
Streptococcal Toxic Shock Syndrome ◽  
Healthy Children ◽  
Toxic Shock ◽  
Primary Peritonitis ◽  
Pure Cultures ◽  
Group A

Primary peritonitis remains a rare disease in otherwise healthy children, with group A Streptococcus (GAS) being a particularly unusual cause. A case involving a 14-year-old girl, who presented with an ‘acute abdomen’ and was taken to the operating room for urgent laparoscopy, is reported. Abdominal and pelvic structures were only minimally inflamed, as was the appendix. Peritoneal fluid and blood cultures both grew pure cultures of GAS. The patient’s course was complicated by streptococcal toxic shock syndrome. She fortunately made a full recovery. The present report highlights the diagnostic and treatment dilemmas associated with GAS primary peritonitis.

scholarly journals Effectiveness of Laparoscopic Surgery for Treating Primary Peritonitis Caused by Group A Streptococcus: A Case Report

2021 ◽  
Vol 70 (4) ◽  
pp. 407-413
Author(s):  
Ryosuke OSADA ◽  
Takashi IMAI ◽  
Sayaka YASAKI ◽  
Kota TAKANO ◽  
Masami NOIKE ◽  
...  
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Group A Streptococcus ◽  
Primary Peritonitis ◽  
Group A ◽  
Streptococcus A

Persistent primary peritonitis due to group A streptococcus and E. coli

2002 ◽  
Vol 28 (12) ◽  
pp. 1829-1831 ◽  
Author(s):  
Alexandra Gavala ◽  
Serafim Klimopulos ◽  
Dimitrios Exarchos ◽  
Kosmas Konstantinidis ◽  
Zoi Daniil ◽  
...  
Keyword(s):  
Group A Streptococcus ◽  
E Coli ◽  
Primary Peritonitis ◽  
Group A

Acute abdomen in a healthy woman: Primary peritonitis due to group A streptococcus

2006 ◽  
Vol 26 (7) ◽  
pp. 700-701 ◽  
Author(s):  
P. Saha ◽  
T. Morewood ◽  
J. Naftalin ◽  
S. Hopkins
Keyword(s):  
Acute Abdomen ◽  
Group A Streptococcus ◽  
Healthy Woman ◽  
Primary Peritonitis ◽  
Group A

scholarly journals Group A Streptococcal Toxic Shock Syndrome after a Routine Gynecological Procedure

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Kei Ameda ◽  
Yoko Yamada ◽  
Yuriko Uehara ◽  
Tamami Ohno ◽  
Mari Hoya ◽  
...  
Keyword(s):  
Septic Shock ◽  
Toxic Shock Syndrome ◽  
Vaginal Discharge ◽  
Group A Streptococcus ◽  
Vaginal Swab ◽  
Streptococcal Toxic Shock Syndrome ◽  
Toxic Shock ◽  
Primary Peritonitis ◽  
Gynecological Examination ◽  
Group A

Streptococcal toxic shock syndrome (STSS) is a life-threatening illness mainly caused by invasive group A Streptococcus (GAS) infection. Herein, we report a case of a postmenopausal woman who developed STSS from an ascending vaginal GAS infection after cytocervical sampling. The patient complained of vaginal discharge, for which she underwent gynecological examination with vaginal sampling. The following day, there was onset of diarrhea and vomiting. After 7 days, she was admitted to our hospital with septic shock. Necrotizing enterocolitis was suspected and surgical intervention was performed; however, the patient was diagnosed with primary peritonitis and antibiotics were initiated. On day 2, GAS was suspected by blood cultures, and antibiotics were changed in consideration of STSS. On day 4, GAS was confirmed in blood, ascitic fluid, and vaginal swab specimens, and STSS caused by an ascending vaginal GAS infection was diagnosed. This case report indicates that STSS could occur following cytocervical sampling for vaginal discharge. If a woman has unexplained septic shock, especially with gastroenteritis symptoms, STSS should be considered as a differential diagnosis.

scholarly journals Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review

2021 ◽  
Vol 13 (1) ◽  
pp. 26-32
Author(s):  
Avelyn E. Y. Aw ◽  
James W. K. Lee ◽  
Kon Voi Tay
Keyword(s):  
Ct Scan ◽  
Streptococcus Pyogenes ◽  
Group A Streptococcus ◽  
Young Female ◽  
Free Fluid ◽  
Current Standard ◽  
Bacterial Peritonitis ◽  
Primary Peritonitis ◽  
Group A ◽  
Infection Source

Primary spontaneous bacterial peritonitis (SBP) is a rare cause of acute abdomen in previously healthy patients, even more unusually caused by a group A Streptococcus (GAS) (also known as Streptococcus pyogenes) infection. We report a young, otherwise healthy female who presented with generalized abdominal pain that was initially managed conservatively as gastroenteritis, with a computed tomography (CT) scan showing a ruptured corpus luteal cyst. Upon subsequent readmission with worsened pain and symptoms, a repeat CT scan showed worsened free fluid with signs of peritonitis. A diagnostic laparoscopy confirmed primary peritonitis with an unknown infection source and causative pathology, as the appendix, ovaries and bowels were healthy-looking. Fluid cultures returned positive for GAS Pyogenes, while blood and urine cultures were negative. The discussion reviews the challenges in diagnosis and treatment of GAS primary peritonitis, highlighting the need for clinical suspicion, early diagnosis via laparoscopy or laparotomy and prompt antibiotic therapy as the current standard for treatment.

Etiology, clinical presentation, laboratory diagnostics, pathogenesis of impetigo and treatment methods

2020 ◽  
pp. 64-70
Author(s):  
Anastasiya Laknitskaya
Keyword(s):  
Streptococcus Pyogenes ◽  
Skin Diseases ◽  
Group A Streptococcus ◽  
Antibiotic Sensitivity ◽  
Antioxidant Defense System ◽  
Laboratory Diagnostics ◽  
Treatment Methods ◽  
Group A ◽  
The Individual

Currently, one of the priority medical and social problems is the optimization of treatment methods for pyoderma associated with Streptococcus pyogenes — group A streptococcus (GAS). To date, the proportion of pyoderma, the etiological factor of which is Streptococcus pyogenes, is about 6 % of all skin diseases and is in the range from 17.9 to 43.9 % of all dermatoses. Role of the bacterial factor in the development of streptococcal pyoderma is obvious. Traditional treatment complex includes antibacterial drugs selected individually, taking into account the antibiotic sensitivity of pathognomonic bacteria, and it is not always effective. Currently implemented immunocorrection methods often do not take into account specific immunological features of the disease, the individual, and the fact that the skin performs the function of not only a mechanical barrier, but it is also an immunocompetent organ. Such an approach makes it necessary to conduct additional studies clarifying the role of factors of innate and adaptive immunity, intercellular mediators and antioxidant defense system, that allow to optimize the treatment of this pathology.

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