Primary group A streptococcal septic shock syndrome simulating perforated appendicitis in a previously healthy girl

BMJ Case Rep. 2013 May 4:2013:bcr2013009502. doi: 10.1136/bcr-2013-009502.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Appendicitis* / diagnosis
  • Child
  • Exudates and Transudates / microbiology
  • Female
  • Humans
  • Peritonitis / diagnosis*
  • Peritonitis / drug therapy
  • Peritonitis / microbiology
  • Shock, Septic / diagnosis*
  • Shock, Septic / drug therapy
  • Shock, Septic / microbiology
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / microbiology
  • Streptococcus pyogenes*

Substances

  • Anti-Bacterial Agents