Primary group A streptococcal septic shock syndrome simulating perforated appendicitis in a previously healthy girl
- 1Department of Paediatric Urology, University College London Hospitals NHS Foundation Trust, London, UK
- 2Department of Paediatric Urology, Great Ormond Street Children Hospital NHS Trust, London, UK
- 3Department of Paed Surgery, LRI, Leicester, UK
- Correspondence to Ramnik V Patel,
A previously healthy 6-year-old girl that initially presented with presumed viral gastrointestinal infection for a week and later developed catastrophic primary peritonitis and septic shock requiring resuscitation and emergency exploratory laparotomy without any identifiable intra-abdominal cause of the sepsis and the peritoneal exudates grew group A streptococci. Appropriate antibiotic therapy was instituted and she made a complete recovery.