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- Title
A fatal case of Group A streptococcal infection following an endometrial biopsy: A case study.
- Authors
Vanderbeck, Kaitlin A.; Farmer, Patricia
- Abstract
Objective: Group A streptococcal infection results in considerable mortality. The goal of this study is to review the details surrounding a case of a 40-year-old healthy female with persistent menorrhagia in the setting of endometriosis and chronic abdominal pain who underwent an in-office endometrial biopsy and began exhibiting symptoms of systemic infection within forty-eight hours. She later died of invasive group A streptococcus infection thought to be associated with acute pelvic inflammatory disease. An autopsy was performed. Method(s): An analysis of the patient's case, medical records, biopsy and autopsy findings was completed. A review of the literature surrounding the incidence of initially unrecognized Group A Streptococcal infection resulting in invasive infection following an endometrial biopsy was performed. Data and Results: Autopsy results, corresponding surgical pathology and blood cultures indicate cause of death from systemic invasive group A streptococcal infection. Conclusions: Cases involving initially unrecognized group A streptococcal pelvic inflammatory disease leading to disseminated infection have been reported. Literature discussing the incidence of disseminated group A streptococcal infection following an out-patient endometrial biopsy is limited. This would appear to be one of the first reports detailing the demise of a patient with initially unidentified group A streptococcal infection following an endometrial biopsy. The details of this particular case may increase awareness of such a complication and improve patient safety.
- Subjects
STREPTOCOCCAL diseases; ENDOMETRIAL biopsy; PELVIC inflammatory disease; SEPSIS; AUTOPSY
- Publication
Canadian Journal of Pathology, 2017, Vol 9, p25
- ISSN
1918-915X
- Publication type
Article