Group A streptococcal toxic shock syndrome secondary to necrotizing pelvic inflammatory disease in a postmenopausal woman

Qiwei Paulson, Elizabeth Douglass, Alejandro Moreno, Jayson Aydelotte

Research output: Contribution to journalArticle

3 Scopus citations


Group A β-hemolytic streptococcus (GAS) is well known to cause upper respiratory tract or cutaneous infections, but some more virulent species of GAS can lead to a rapidly progressive life threatening soft tissue necrotizing infection and streptococcal toxic shock syndrome (STSS). In the modern era, GAS infections within the female reproductive tract leading to STSS are unusual and are often the result of retained products of conception or intrauterine devices. This report describes a case of GAS necrotizing pelvic infection in a previously healthy menopausal woman with no obvious portal of entry. Her clinical course rapidly progressed to septic shock and multiorgan failure. She required multiple surgeries in addition to targeted antimicrobials and aggressive management of shock and organ failures. After a prolonged hospital stay, she had a full recovery.

Original languageEnglish (US)
Pages (from-to)21-23
Number of pages3
Publication statusPublished - 2016



  • Group A streptococcus
  • Menopausal
  • Pelvic inflammatory disease
  • Streptococcal toxic shock syndrome

ASJC Scopus subject areas

  • Infectious Diseases

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