Streptococcal toxic shock-like syndrome in a post-myomectomy patient

SM Choo, SW Yeo, E Thomas
Department of Anaesthesia, Kandang Kerbau Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899

We report on a healthy 34-year-old woman who received an elective myomectomy for uterine fibroid, and postoperatively developed fatal streptococcal toxic shock-like syndrome. We discuss the series of events that led to this life-threatening disease and its pathophysiology, and suggest areas in which management might have been improved.

Hong Kong Med J 1998;4:52-6

Key words: Fatal outcome; Postoperative complications; Shock, septic; Streptococcus pyogenes