A case of fulminant type A group β-streptococcal infection (STSS) of pelvic peritonitis with high fever, severe abdominal pain and diarrhea, developed in a 20-year-old healthy woman

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  • 高熱，腹部激痛，下痢を伴う若年性女性の骨盤腹膜炎から劇症型A群<i>β</i>溶血性レンサ球菌感染症（STSS）をきたした1例
  • 高熱,腹部激痛,下痢を伴う若年性女性の骨盤腹膜炎から劇症型A群β溶血性レンサ球菌感染症(STSS)をきたした1例
  • コウネツ,フクブ ゲキツウ,ゲリ オ トモナウ ジャクネンセイ ジョセイ ノ コツバン フクマクエン カラ ゲキショウガタ Aグンvヨウケツセイレンサキュウキン カンセンショウ(STSS)オ キタシタ 1レイ

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Abstract

<p>Fulminant hemolytic streptococcal infection is a highly lethal infection that develops suddenly and leads to septic shock due to β-hemolytic streptococcus that rapidly progresses to multiple organ failure, but it is rare to develop in 20s years young women. A twenty-year-old healthy woman suddenly developed peritonitis which rapidly progressed to streptococcal toxic syndrome(STSS), which was initially difficult to distinguish from bacterial enteritis due to the presence of severe abdominal pain, fever, and diarrhea. The next day, Streptococcus pyogenes was detected in the blood bacterial culture and a diagnosis of STSS was made. Antibiotic treatment with large doses of penicillin G and clindamycin were started immediately, and the woman survived. This is the rare report of STSS associated with pelvic peritonitis in 20-year-old healthy young woman.Since it is possible for even 20s years juvenile women to have STSS associated with pelvic peritonitis, it is important to watch the test data including blood cultures, and not delay the diagnosis by even one day. [Adv Obstet Gynecol, 74(1) : 46-50, 2022 (R4.2)]</p>

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