UNASSIGNED: @entity137 ( @entity137 ) is a @entity262 usually caused in the setting of infection by @entity9764 ( @entity9764 ). The primary infections are often invasive @entity1729 of the skin and soft tissue, but some infections occur without relevant focus. @entity9764 vaginitis is a rare condition among adult @entity1 and is accordingly thought to be uncommon as a cause of streptococcal @entity137 . Here we report the cases of two postmenopausal @entity1 with streptococcal @entity137 secondary to @entity9764 vaginitis, one aged 55 and one aged 60. Both came to our emergency department with complaints or symptoms of @entity490 , @entity221 , @entity551 , and @entity881 . In both cases, the relevant factor associated with @entity883 was a recent episode of @entity9764 vaginitis. Both underwent fluid management and 14 days of antibiotic treatment and fully recovered without complications. @entity365 was likely to be the primary infectious trigger of @entity137 in these two cases. Intrauterine device insertion, endometrial biopsy, and post-partum state have all been previously reported in @entity137 @entity1 , and the female genital tract has been described as a portal of entry. @entity9764 vaginitis warrants appropriate treatment as it may progress to severe @entity281 as described.

XXXX secondary to group A  Streptococcus vaginitis.

@entity1 :: ('9606', 'Species') :: ['women', 'patients'] @entity365 :: ('MESH:D014627', 'Disease') :: ['Vaginitis'] @entity137 :: ('MESH:D064420', 'Disease') :: ['TSS', 'Streptococcal toxic shock syndrome'] @entity883 :: ('MESH:D013290', 'Disease') :: ['streptococcal infection'] @entity9764 :: ('2588', 'Gene') :: ['group A Streptococcus', 'GAS'] @entity262 :: ('MESH:D034721', 'Disease') :: ['systemic illness'] @entity281 :: ('MESH:D007239', 'Disease') :: ['systemic infection'] @entity1729 :: ('MESH:D012141', 'Disease') :: ['infections of the respiratory tract or necrotizing infections'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multi-organ failure'] @entity551 :: ('MESH:D007022', 'Disease') :: ['hypotension'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity137 :: (MESH:D064420,Disease) :: ['Streptococcal toxic shock syndrome']
