Streptococcal toxic shock syndrome following insertion of an intrauterine device--a case report

The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception
R VenkataramanasettyH Phillip

Abstract

Though the incidence of infection associated with the use of intrauterine devices (IUDs) is quite low, toxic shock syndrome (TSS) should be considered if fever and shock should develop rapidly following insertion of the device. A 31-year-old woman, para 4, developed fever, abdominal pain, nausea and vomiting two days after insertion of a CuT380A copper IUD. Six days after insertion the patient fulfilled the criteria for TSS. She presented evidence of an acute pelvic infection for which an emergency total abdominal hysterectomy with bilateral salpingectomy was performed. The sepsis appeared to be due to group A streptococcus (GAS). The patient made an uneventful recovery. This is the first reported case of GAS causing a TSS associated with insertion of an IUD. Streptococcal TSS can be fatal. Early aggressive management is mandatory.

References

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Feb 1, 1983·Fertility and Sterility·H J Tatum
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Jun 28, 2005·FEMS Microbiology Letters·Donald M Gardiner, Barbara J Howlett

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Citations

Feb 12, 2013·The Journal of Emergency Medicine·Elizabeth E Cho, Dinali Fernando
Sep 21, 2015·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Mayu HikoneKenji Ohnishi
Sep 27, 2018·BMJ Case Reports·Heather LusbyAmanda Finley
Nov 15, 2013·Journal of Palliative Medicine·Michael RabowDavid Weissman
Aug 22, 2017·Internal Medicine·Yuri Iwata, Shigeru Iwase
Feb 3, 2021·Pediatrics in Review·Sourik BeltránJennifer H Chuang
Jul 3, 2021·Case Reports in Obstetrics and Gynecology·Kei AmedaMisako Mishima
Apr 15, 2019·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Jacques BalaylaCleve Ziegler

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