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Group A Streptococcal Endometritis and Toxic Shock causing Septic Pelvic Thrombophlebitis and Septic Pulmonary Emboli
  1. Sunny Dharia,
  2. Sapan Shah,
  3. Meghan Kissinger,
  4. Alan Sanders and
  5. Gurpreet Singh
  1. Albany Medical Center Hospital, Albany, New York, USA
  1. Correspondence to Dr Sunny Dharia; dharias{at}amc.edu

Abstract

Group A Streptococcus (GAS) in the setting of postpartum endometritis can have severe and life-threatening complications. We report a rare case of septic pulmonary emboli that we surmised to have originated from septic pelvic thrombosis in the setting of GAS toxic shock syndrome (TSS) secondary to postpartum endometritis and intrauterine demise. Although the patient had source control with hysterectomy, she continued to have new septic emboli to the lungs seen on CT scans. CT scan of the pelvis demonstrated several filling defects in the renal and pelvic veins. The patient eventually responded well to anticoagulation in addition to antibiotics, which is similar to cases of Lemierre’s syndrome. Additionally, we would like to bring attention to how important radiological findings can be missed if there is lack of interspecialty communication about the patient’s clinical situation.

  • Infectious diseases
  • Reproductive medicine
  • Pulmonary embolism

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Footnotes

  • Contributors SD- Contributed writing and editing report. SS, MS4 - Contributed to writing and editing report. Carried out research for references. MK, MS4 - Contributed to writing and editing report. Carried out research for references. AS - Contributed to writing and editing report. GS - Contributed to writing and editing report. All authors contributed to the care of the studied individual, reviewing the material presented, and analysis of the data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.