{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T07:56:12Z","timestamp":1774511772763,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    We present the case of a 43\u2010year\u2010old postpartum woman who developed primary streptococcal peritonitis with a fulminant septic course requiring intensive care. Initial symptoms were nonspecific and improved temporarily, but the patient returned the next day with recurrent pain and markedly elevated inflammatory markers. Imaging confirmed peritonitis, and despite empirical antibiotics, the patient deteriorated into septic shock. Laparotomy revealed purulent peritonitis without a clear source, and\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Streptococcus pyogenes<\/jats:italic>\n                    <\/jats:styled-content>\n                    was detected via PCR and intraoperative cultures. The patient responded to escalated antimicrobial therapy and intensive supportive measures. However, a serious complication occurred following chest tube placement, leading to significant bleeding and prolonged ICU stay. This case underlines the importance of early recognition of rare pathogens, the necessity for prompt and adequate antimicrobial therapy, and the need for careful risk\u2013benefit analysis of invasive procedures in the ICU setting.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.72195","type":"journal-article","created":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T05:00:21Z","timestamp":1773464421000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Primary Streptococcal Peritonitis in a Postpartum Patient: A Rare but Life\u2010Threatening Condition"],"prefix":"10.1002","volume":"14","author":[{"given":"Matthias","family":"Pimiskern","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Emergency and Intensive Medicine University Hospital Wiener Neustadt  Wiener Neustadt Austria"},{"name":"Department of Medicine Danube Private University  Krems an der Donau Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-0699","authenticated-orcid":false,"given":"Helmut","family":"Trimmel","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Emergency and Intensive Medicine University Hospital Wiener Neustadt  Wiener Neustadt Austria"},{"name":"Department of Medicine Danube Private University  Krems an der Donau Austria"},{"name":"Karl Landsteiner Institute of Emergency Medicine, Medical Simulation and Patient Safety  Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Robert Koch Institut \u201cStreptococcus pyogenes\u2010Infektionen 2024 \u201dhttps:\/\/www.rki.de\/DE\/Content\/Infekt\/EpidBull\/Merkblaetter\/Ratgeber_Streptococcus_pyogenes.html."},{"key":"e_1_2_12_3_1","unstructured":"Bundesministerium f\u00fcr Soziales Gesundheit Pflege und Konsumentenschutz \u00d6 \u201cJahresbericht meldepflichtiger Erkrankungen 2023 \u201d (2023) https:\/\/www.sozialministerium.at\/dam\/jcr:8cb36b8e\u2010106d\u2010439c\u20109d1a\u201072308cea065f\/Jahresbericht2023.pdf."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3747\/pdi.2010.00304"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl407"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102369\u201010\u201019"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr\u20102019\u2010230490"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2022.106839"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn121430\u201020211009\u201001442"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3201\/eid2911.230211"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12967\u2010023\u201004592\u20108"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72195","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72195","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72195","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T06:07:22Z","timestamp":1774505242000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1002\/ccr3.72195"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72195","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-08-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72195"}}