Choque séptico puerperal por Streptococcus β-hemolítico e síndrome de Waterhouse-Friderichsen Puerperal septic shock due to β-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome

Abstract

É relatado caso excepcional de puérpera de 15 anos com choque séptico pelo Streptococcus beta-hemolítico do grupo A e síndrome de Waterhouse-Friderichsen, observado à necropsia. São revistos aspectos do diagnóstico, patogênese e evolução da infecção (sepse) puerperal associada à hemorragia e insuficiência das supra-renais.An exceptional case of a 15-year-old puerpera with septic shock caused by Group A β-hemolytic Streptococcus and Waterhouse-Friderichsen syndrome is reported. The findings were observed at the necropsy. The characteristics of the diagnosis, pathogenesis and evolution of this puerperal infection (sepsis), associated with adrenal hemorrhage and insufficiency are reviewed in this paper.

Keywords

• Síndrome de Waterhouse-Friderichsen
• Hemorragia adrenal bilateral
• Estreptococos β-hemolítico do grupo A
• Infecção puerperal
• Waterhouse-Friderichsen syndrome
• Bilateral adrenal hemorrhage
• Group A β-hemolytic Streptococcus
• Puerperal infection