Article ; Online: Infectious sacroiliitis due to group A streptococcus infection during pregnancy: a case report.
Journal of medical case reports
2022 Volume 16, Issue 1, Page(s) 55
Abstract: Background: Group A streptococcus infection during pregnancy can be concerning. It may cause toxic shock syndrome, which can be fatal. Here, we report a rare case of a pregnant woman who developed infectious sacroiliitis due to group A streptococcus ... ...
| Abstract | Background: Group A streptococcus infection during pregnancy can be concerning. It may cause toxic shock syndrome, which can be fatal. Here, we report a rare case of a pregnant woman who developed infectious sacroiliitis due to group A streptococcus infection. To the best of our knowledge, this case is the first of its kind to be reported. Case presentation: A 32-year-old multiparous Japanese woman presented with fever and right buttock pain at 28 weeks of gestation. Based on our clinical findings and investigations, she was diagnosed with group A streptococcus bacteremia and infectious sacroiliitis caused by group A streptococcus. A cardiotocography performed to assess the fetal status showed fetal tachycardia. To prevent the patient from progressing to toxic shock syndrome caused by group A streptococcus, we performed an emergency cesarean section. The patient and her infant had a good course after the cesarean section. Conclusion: A pregnant woman diagnosed with group A streptococcus infection needs to be monitored closely because a timely decision to deliver the fetus before rapid deterioration to toxic shock syndrome is crucial. |
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| MeSH term(s) | Adult ; Cesarean Section ; Female ; Humans ; Pregnancy ; Pregnancy Complications, Infectious/diagnosis ; Sacroiliitis/diagnostic imaging ; Sacroiliitis/drug therapy ; Shock, Septic/diagnosis ; Streptococcal Infections/complications ; Streptococcal Infections/diagnosis ; Streptococcal Infections/drug therapy ; Streptococcus pyogenes |
| Language | English |
| Publishing date | 2022-02-11 |
| Publishing country | England |
| Document type | Case Reports ; Journal Article |
| ZDB-ID | 2269805-X |
| ISSN | 1752-1947 ; 1752-1947 |
| ISSN (online) | 1752-1947 |
| ISSN | 1752-1947 |
| DOI | 10.1186/s13256-022-03271-4 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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