{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:10:02Z","timestamp":1733962202482,"version":"3.30.2"},"reference-count":0,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T00:00:00Z","timestamp":1723161600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Practice and Cases in Emergency Medicine"],"abstract":"<p>Introduction: Point-of-care ultrasound (POCUS) is a screening and diagnostic modality frequently used in the emergency department to assess patients with abdominal pain. Case Report: We present a case describing the unusual finding of intraperitoneal fluid with loculations visualized in the right upper quadrant of the abdomen in a patient ultimately diagnosed with pelvic inflammatory disease (PID) with ruptured tubo-ovarian abscess caused by group A streptococcus (GAS), a pathogen rarely implicated in the disease. Conclusion: Uncommon findings on abdominal POCUS should trigger further investigation. In a patient not responding to antibiotics administered for typical PID coverage, GAS should be considered as a possible etiology and a penicillin-based antibiotic administered to prevent progression to tubo-ovarianabscess formation, peritonitis, and sepsis.<\/p>","DOI":"10.5811\/cpcem.6663","type":"journal-article","created":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T02:01:01Z","timestamp":1723255261000},"source":"Crossref","is-referenced-by-count":0,"title":["Loculated Fluid Visualized in Hepatorenal Space with Point-ofcare Ultrasound in Patient with Pelvic Inflammatory Disease Caused by Group A Streptococcus"],"prefix":"10.5811","volume":"8","author":[{"given":"Neil","family":"Makhhijani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel E.","family":"Sondheim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turandot","family":"Saul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0428-6416","authenticated-orcid":false,"given":"Elizabeth","family":"Yetter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2024,8,9]]},"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"link":[{"URL":"https:\/\/escholarship.org\/content\/qt9k09v5qh\/qt9k09v5qh.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T23:42:32Z","timestamp":1733960552000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/9k09v5qh"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,9]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,11,27]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.6663","relation":{},"ISSN":["2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2024,8,9]]}}}