Abstract
Background: Staphylococcus aureus and the β-hemolytic streptococci are the commonest causes of puerperal mastitis which tends to be a localized disease process. This report describes 2 cases attributable to these bacteria that resulted in extramammary involvement and augmented morbidity.
Cases: Two cases of postpartum mastitis are described, one leading to necrotizing fasciitis caused by group A streptococci and the other leading to toxic shock syndrome (TSS) caused by S. aureus.
Conclusion: The spectrum of disease commonly attributed to mastitis occurring in this setting should be expanded.
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Selected References
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- Bracero L., Bowe E. Postpartum toxic shock syndrome. Am J Obstet Gynecol. 1982 Jun 15;143(4):478–479. doi: 10.1016/0002-9378(82)90093-x. [DOI] [PubMed] [Google Scholar]
- Chow A. W., Wittmann B. K., Bartlett K. H., Scheifele D. W. Variant postpartum toxic shock syndrome with probable intrapartum transmission to the neonate. Am J Obstet Gynecol. 1984 Apr 15;148(8):1074–1079. doi: 10.1016/s0002-9378(84)90448-4. [DOI] [PubMed] [Google Scholar]
- Demey H. E., Hautekeete M. L., Buytaert P., Bossaert L. L. Mastitis and toxic shock syndrome. Acta Obstet Gynecol Scand. 1989;68(1):87–88. doi: 10.3109/00016348909087698. [DOI] [PubMed] [Google Scholar]
- Green S. L., LaPeter K. S. Evidence for postpartum toxic-shock syndrome in a mother-infant pair. Am J Med. 1982 Jan;72(1):169–172. doi: 10.1016/0002-9343(82)90605-2. [DOI] [PubMed] [Google Scholar]
- Niessen G. J., Bartels C. C., Degener J. E., Stibbe J. Mastitis and toxic shock syndrome (tampon disease). Neth J Surg. 1985 Aug;37(4):101–104. [PubMed] [Google Scholar]
- Reingold A. L., Hargrett N. T., Dan B. B., Shands K. N., Strickland B. Y., Broome C. V. Nonmenstrual toxic shock syndrome: a review of 130 cases. Ann Intern Med. 1982 Jun;96(6 Pt 2):871–874. doi: 10.7326/0003-4819-96-6-871. [DOI] [PubMed] [Google Scholar]
- Schwartz B., Facklam R. R., Breiman R. F. Changing epidemiology of group A streptococcal infection in the USA. Lancet. 1990 Nov 10;336(8724):1167–1171. doi: 10.1016/0140-6736(90)92777-f. [DOI] [PubMed] [Google Scholar]
- Stevens D. L. Invasive group A streptococcus infections. Clin Infect Dis. 1992 Jan;14(1):2–11. doi: 10.1093/clinids/14.1.2. [DOI] [PubMed] [Google Scholar]
- Whitfield J. W., Valenti W. M., Magnussen C. R. Toxic shock syndrome in the puerperium. JAMA. 1981 Oct 16;246(16):1806–1807. [PubMed] [Google Scholar]
