Symptoms of puerperal infection in group A streptococcal disease

Typical

Fever or rigors

Uterine pain

Malodorous vaginal discharge

Atypical

Swelling or pain in extremities or joints

Nausea and vomiting

Copious nonfoul smelling vaginal discharge

Bloody secretions from wound

General malaise

Headache

Myalgias

Dyspnea

Rash

Pharyngitis

Confusion or combativeness

From: Anderson BL. Puerperal group A streptococcal infection: beyond Semmelweis. Obstet Gynecol 2014; 123:874. DOI: 10.1097/AOG.0000000000000175. Reproduced with permission from Lippincott Williams & Wilkins. Copyright © 2014 American College of Obstetricians and Gynecologists. Unauthorized reproduction of this material is prohibited.

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