Description

Infections caused by Streptococcus pyogenes (Group A streptococcus) may be complicated by deep vein thrombosis (DVT).


 

Deep vein thrombosis associated with Streptococcus pyogenes have been reported in:

(1) neck veins

(2) axillary veins

(3) veins of the lower extremity

(4) ovarian veins

(5) subcutaneous veins

 

The patient may present with signs and symptoms of the deep vein thrombosis. The underlying infection may not be recognized initially.

 

The patient with a DVT may be septic.

 

The presence of infection and DVT should cause the physician to think of Streptococcus pyogenes as an underlying pathogen and provide antibiotic coverage accordingly.

 

A patient with a Group A streptococcal infection should be monitored for signs of deep vein thrombosis, especially if the patient has other risk factors for thrombosis.

 


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