Group a Streptococcal Peritonitis and Toxic Shock Syndrome in a Postmenopausal Woman

Iwata, Y.; Iwase, S.

Internal Medicine 56(18): 2523-2527


ISSN/ISBN: 1349-7235
PMID: 28824068
DOI: 10.2169/internalmedicine.8552-16
Accession: 059781310

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We herein report the case of a 66-year-old woman presenting with symptoms of gastroenteritis. Computed tomography showed small-bowel dilation without ischemic signs. After admission, she went into shock and was treated for sepsis of unknown origin. She was later diagnosed with group A streptococcal peritonitis due to an ascending vaginal infection. This case highlights the importance of considering Group A Streptococcus (GAS) infection as a cause of peritonitis in postmenopausal women.