STREPTOCOCCAL TOXIC SHOCK-LIKE SYNDROME AS AN UNUSUAL COMPLICATION OFLAPAROSCOPIC TUBAL-LIGATION - A CASE-REPORT

Toxic shock-like syndrome due to Streptococcus pyogenes is an unusual occurrence. Previously reported cases have been the result of focal in fections with S pyogenes. We present a case in which manipulation of a colonized mucosal surface during laparoscopic tubal ligation was the presumed cause of the sepsis syndrome. Whereas other reports of this s yndrome have all noted concurrent infections with S pyogenes, in this instance it was unclear if toxin-mediated disease was initiated by mil d endometritis or iatrogenic manipulation of a colonized mucosal surfa ce.