Necrotizing fasciitis after cesarean section

González-Castro, A.; Rodríguez-Borregán, J.C.; Obeso, Tomás; Castellanos, Á.; Perez-Ceballos, Amelia; Sesmero, José Ramón de Miguel

doi:10.1007/s00404-008-0609-4

Cited by 2 publications

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“…We included a total of 98 patients reported over a long time period (45 years) (Table 1 6–61 ). Patient characteristics were compared between antenatal and postnatal GAS infection groups (Table 2).…”

Section: Resultsmentioning

confidence: 99%

How could we suspect life‐threatening perinatal group A streptococcal infection?

Arai

Takai

Samejima

et al. 2020

J of Obstet and Gynaecol

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Aim: Perinatal group A streptococcal infection is a rare but life-threatening condition. Few reports have focused on its clinical characteristics and how to prevent deterioration. We report our experience with two antenatal fatal cases and reviewed 96 cases in the literature to assess the clinical characteristics of group A streptococcal infection. Methods: English-language clinical reports of antenatal and postnatal group A streptococcal infection in 1974-2019 were retrieved and examined. Relationships between clinical characteristics and maternal outcomes were assessed. Results: Univariate analysis revealed that antenatal group A streptococcal infection was significantly associated with an age of ≤19 or ≥ 35 years, cesarean section, sore throat as an initial symptom, positive throat culture, maternal death and fetal death. Multivariate analysis revealed that antenatal onset (odds ratio = 7.922, 95% confidence interval = 1.297-48.374; P = 0.025) and a quick sepsis-related organ-failure assessment score (qSOFA; low blood pressure, high respiratory rate or altered mental status) of ≥2 (odds ratio = 6.166, 95% confidence interval = 1.066-35.670; P = 0.042) were significantly related to maternal death. Conclusion: Per our findings, antenatal group A streptococcal infection was significantly associated with maternal and fetal death. Further, the antenatal infection was revealed as a more critical risk factor. We suggest that the presence of any sign related to the qSOFA is a potential clue suspecting perinatal group A streptococcal infection in primary obstetric facilities.

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Section: Resultsmentioning

confidence: 99%

How could we suspect life‐threatening perinatal group A streptococcal infection?

Arai

Takai

Samejima

et al. 2020

J of Obstet and Gynaecol

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“…Several atypical presentations such as necrotising fasciitis involving the cervix and uterus 24 or caesarean section wounds 25 have been reported. Group A streptococcus‐infected episiotomy wounds have also been a cause of puerperal sepsis 26…”

Section: Clinical Presentationmentioning

confidence: 99%

Group A streptococcal puerperal sepsis: management and prevention

Palaniappan

Menezes

Willson

2012

The Obstetric & Gynaecologis

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Key contentr Group A streptococcus is a life-threatening cause of puerperal sepsis. r Enhanced surveillance by the Health Protection Agency (UK) has shown a recent resurgence of this potentially fatal pathogen. r Sources of infection are often not identifiable. Learning objectivesr To understand the incidence, diagnosis and complications of group A streptococcal infection in the puerperium.r To identify features that distinguish this condition from the more common and usually more benign pathogens. r To learn about the choice of antibiotics used for the infection. r To learn about the prevention and management of the infection in the hospital environment. Ethical issuesr Do we need to treat household contacts?

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Necrotizing fasciitis after cesarean section

Cited by 2 publications

References 0 publications

How could we suspect life‐threatening perinatal group A streptococcal infection?

How could we suspect life‐threatening perinatal group A streptococcal infection?

Group A streptococcal puerperal sepsis: management and prevention

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