Group A Streptococcus causing PID from an initial pharyngeal infection. A case report.

Abstract

BACKGROUND:

Pelvic inflammatory disease (PID) is a difficult diagnosis. Five billion dollars is spent on over 1 million women diagnosed each year. Atypical organisms and prior history of tubal ligation may complicate the diagnosis.

CASE:

A woman who had undergone tubal ligation and abstained from intercourse for over two years developed group A streptococcal salpingitis. It occurred following an upper respiratory infection with the same organism.

CONCLUSION:

PID is rare in a woman with prior tubal ligation who is not engaging in intercourse. In this case it followed an upper respiratory infection with group A Streptococcus. Low diagnostic suspicion must be maintained for uncommon pathogens in PID in women with prior tubal ligation who are not engaging in intercourse.

• Authors: E K Lamb, J N Anasti, H B Leonetti
• Journal: The Journal of reproductive medicine (J Reprod Med) Vol. 44 Issue 7 Pg. 639-41 (Jul 1999) ISSN: 0024-7758 [Print] United States
• PMID: 10442331 (Publication Type: Case Reports, Journal Article)

Topics

• Diagnosis, Differential
• Female
• Humans
• Middle Aged
• Pharyngitis (complications, microbiology)
• Salpingitis (diagnosis, microbiology)
• Streptococcal Infections (complications, diagnosis)
• Streptococcus pyogenes (isolation & purification)