G L McAdoo1, G R Monif. 1. Department of Obstetrics and Gynecology Creighton University School of Medicine 601 North 30th Street Omaha NE 68131 USA.
Abstract
BACKGROUND: Staphylococcus aureus and the beta-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.
BACKGROUND:Staphylococcus aureus and the beta-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.