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- Title
Infectious sacroiliitis due to group A streptococcus infection during pregnancy: a case report.
- Authors
Nagashima, Mikako; Watanabe, Norikazu; Okui, Yosuke; Fukase, Mika; Takahashi, Kanako; Ohta, Tsuyoshi; Tsutsumi, Seiji; Takakubo, Yuya; Takagi, Michiaki; Nagase, Satoru
- Abstract
Background: Group A streptococcus infection during pregnancy can be concerning. It may cause toxic shock syndrome, which can be fatal. Here, we report a rare case of a pregnant woman who developed infectious sacroiliitis due to group A streptococcus infection. To the best of our knowledge, this case is the first of its kind to be reported. Case presentation: A 32-year-old multiparous Japanese woman presented with fever and right buttock pain at 28 weeks of gestation. Based on our clinical findings and investigations, she was diagnosed with group A streptococcus bacteremia and infectious sacroiliitis caused by group A streptococcus. A cardiotocography performed to assess the fetal status showed fetal tachycardia. To prevent the patient from progressing to toxic shock syndrome caused by group A streptococcus, we performed an emergency cesarean section. The patient and her infant had a good course after the cesarean section. Conclusion: A pregnant woman diagnosed with group A streptococcus infection needs to be monitored closely because a timely decision to deliver the fetus before rapid deterioration to toxic shock syndrome is crucial.
- Subjects
STREPTOCOCCAL diseases; TOXIC shock syndrome; SACROILIITIS; CESAREAN section; JAPANESE women; PREGNANCY
- Publication
Journal of Medical Case Reports, 2022, Vol 16, Issue 1, p1
- ISSN
1752-1947
- Publication type
Case Study
- DOI
10.1186/s13256-022-03271-4