Toxic shock syndrome within 24 h of an office hysteroscopy

Bhagat, Nanak; Karthikeyan, Akilandeshwari; Kalkur, Sanjaya

doi:10.4103/jmh.jmh_93_16

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…We find in the literature[ 10 ] a case of a previously healthy 68-year-old woman who presented with abdominal pain and vomiting within 24 h of an outpatient hysteroscopy for postmenopausal bleeding. She was subsequently diagnosed with streptococcal toxic shock syndrome due to Group A beta-hemolytic Streptococci treated in the intensive care unit.…”

Section: Discussionmentioning

confidence: 99%

Septic shock following operative hysteroscopy in a menopausal woman: A case report and review of the literature

Belouad

Benlghazi

Belkouchi

et al. 2023

Gynecol Minim Invasive Ther

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Minimally invasive gynecologic surgery such as hysteroscopy has a low risk of complications. Infections, however, are more common in the presence of risk factors such as smoking, history of pelvic inflammatory disease, and endometriosis. We report the case of a patient who underwent operative hysteroscopy without immediate complications and was admitted 2 days later to the emergency department in a severe state of septic shock. With multiple organ failures requiring admission to an intensive care unit, the patient died despite extensive antibiotic therapy and vasoactive drugs. Ascending infection can be a potentially fatal complication of hysteroscopy, even in the absence of known risk factors.

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Section: Discussionmentioning

confidence: 99%

Septic shock following operative hysteroscopy in a menopausal woman: A case report and review of the literature

Belouad

Benlghazi

Belkouchi

et al. 2023

Gynecol Minim Invasive Ther

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“…According to case reports, being in the postpartum period is considered a risk factor for the development of GAS infection, as is gynecologic instrumentation, such as the insertion of an IUD [ 11 ], dilation and curettage [ 12 ] or hysteroscopies [ 13 ]. There are even case reports of TSSS secondary to vulvovaginitis [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Ovarian necrosis due to S. pyogenes septic thrombophlebitis: A case report

Guntiñas¹,

Kirk²,

Blanco³

et al. 2018

Case Reports in Women's Health

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The incidence of systemic infection attributed to group A streptococci (GAS) is increasing, mainly in postpartum women. Such infections require multidisciplinary management and prompt treatment, but an atypical presentation can delay diagnosis.We report the case of a 24-year-old woman admitted to the emergency department for evaluation. She had acute abdominal pain and fever 18 h after insertion of a levonorgestrel intrauterine device (IUD).She had a normal vaginal delivery 45 days earlier, and no other significant medical background. In a few hours the symptoms worsened, with rapid progression towards multiorgan failure. Differential diagnoses of late ovarian thrombophlebitis and ovarian torsion were considered. Laparoscopic surgery revealed the absence of ovarian torsion. The microbiologic culture of the IUD showed colonization by GAS.The sudden onset of shock-like symptoms in a postpartum woman with rapid progression towards multiorgan failure should prompt consideration of a diagnosis of GAS infection, so that appropriate treatment can be initiated to avoid the possible fatal consequences of this aggressive infection.

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