September 10, 2025IDCasesOpen Access

A unique case of IUD associated group A Streptococci pyogenic ascites

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This report reveals a 29-year-old woman with toxic shock syndrome related to group A Strep and an IUD, suggesting need for awareness.

The case illustrates that group A Strep can cause severe complications like toxic shock syndrome.
The patient, initially presenting with abdominal pain and diarrhea, developed acute respiratory distress syndrome.
Diagnosis was confirmed through 16S rRNA PCR testing of the peritoneal fluid following negative cultures.
Exploratory laparotomy with abdominal washouts led to full recovery, emphasizing the critical need for advanced diagnostic techniques.

Goldfarb et al. (2025) studied this question.

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