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Obstetrics & Gynecology 1978;52:53-55
© 1978 by The American College of Obstetricians and Gynecologists
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Puerperal Infection Due to Group A Beta Hemolytic Streptococcus

EDWARD OGDEN, MD and MARVIN S AMSTEY, MD, FACOG

From the Department of Obstetrics and Gynecology al Highland Hospital and the University of Rochester School of Medicine and Dentistry, Rochester, New York.

Abstract

A cluster of S patients with puerperal infection due to group A beta hemolytic streptococcus (GABHS) is described. The most striking clinical signs included the early onset of uterine tenderness followed by an abrupt temperature elevation to>102 F. At the time of uterine tenderness (Day 2, postpartum), 4 of 5 patients had gram-stained lochial smears showing a predominance of gram-positive cocci. The cluster of cases occurred with no source of the infection identified after 365 culture attempts. Therapy was rapidly successful with intravenous penicillin.






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Copyright © 1978 by the American College of Obstetricians and Gynecologists.