Case report: An unusual presentation of puerperal sepsis

Doron Kabiri*, Diana Prus, Roie Alter, Gali Gordon, Shay Porat, Yossef Ezra

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Group A Streptococcus (GAS; Streptococcus pyogenes) is a facultative gram-positive coccus, uncommonly colonizing parturient genitalia, where its presence can potentially lead to a life-threatening invasive infection after delivery. GAS infection typically occurs within the first 4 days post-partum and is characterized by high fever, chills, flashing, abdominal pain, and uterine tenderness. Nonetheless, patients with GAS puerperal sepsis may have an unusual presentation, when fever is absent, and the symptoms and signs can be mild, non-specific, and not indicative of the severity of infection. This unusual presentation may lead to a delayed diagnosis and increase the risk for severe puerperal sepsis. Therefore, in these cases, a high index of suspicion and prompt early antibiotic and surgical treatment is crucial to saving the parturient’s life.

Original languageAmerican English
Article number990731
JournalFrontiers in Medicine
StatePublished - 15 Aug 2022

Bibliographical note

Publisher Copyright:
Copyright © 2022 Kabiri, Prus, Alter, Gordon, Porat and Ezra.


  • Group A Streptococcus
  • infection in pregnancy
  • maternal mortality
  • maternal sepsis
  • puerperal sepsis


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