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Am J Obstet Gynecol. 1993 Sep;169(3):571-2.

The return of life-threatening puerperal sepsis caused by group A streptococci.

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Department of Obstetrics and Gynecology, University of Texas Southwestern Medical School, Dallas 75235-9032.


A dramatic decline in the prevalence of serious puerperal infection caused by group A beta-hemolytic streptococci has been observed throughout most of the twentieth century, and it is currently a very uncommon cause of maternal morbidity and mortality. We report on two term pregnancies complicated by profound multisystem organ failure caused by group A streptococcal puerperal sepsis. This report serves to highlight the apparent return of serious group A streptococcal puerperal sepsis and to emphasize the clinical implications and sequelae attributable to an old yet virulent enemy.

[Indexed for MEDLINE]

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