Introduction
Group A streptococcus (GAS), also known as streptococcus pyogenes,
causes mild infections, the most frequently observed ones are
pharyngitis and impetigo in addition to necrotizing fasciitis. However,
the incidence of GAS infection is increasing according to several
studies and their presentation are becoming more severe (1,2).
Streptococcal toxic syndrome which is considered as a rare and dramatic
manifestation of GAS infection, could be presented as primary
peritonitis in previous healthy patient complicated by a septic shock
with multiple organ failure (3). So we present a rare case of an unusual
acute primary peritonitis due to GAS following vaginal delivery in a
previous healthy patient aged of 37-year-old, in order to highlight the
importance of an early good diagnostic in addition to the initiation of
an adequate therapy on time with the aim to improve the prognosis which
is dark most of the times.