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{
    "pk": 6663,
    "title": "Loculated Fluid Visualized in Hepatorenal Space with Point-ofcare Ultrasound in Patient with Pelvic Inflammatory Disease Caused by Group A Streptococcus",
    "subtitle": null,
    "abstract": "<p><strong>Introduction:</strong> Point-of-care ultrasound (POCUS) is a screening and diagnostic modality frequently used in the emergency department to assess patients with abdominal pain.</p>\n<p><strong>Case Report:</strong> 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.</p>\n<p><strong>Conclusion:</strong> 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>",
    "language": "eng",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "point-of-care ultrasound"
        },
        {
            "word": "Pelvic Inflammatory Disease"
        },
        {
            "word": "case report"
        },
        {
            "word": "peritonitis"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/9k09v5qh",
    "frozenauthors": [
        {
            "first_name": "Neil",
            "middle_name": "",
            "last_name": "Makhhijani",
            "name_suffix": "",
            "institution": "Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York",
            "department": ""
        },
        {
            "first_name": "Samuel",
            "middle_name": "E.",
            "last_name": "Sondheim",
            "name_suffix": "",
            "institution": "Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York",
            "department": ""
        },
        {
            "first_name": "Turandot",
            "middle_name": "",
            "last_name": "Saul",
            "name_suffix": "",
            "institution": "Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York",
            "department": ""
        },
        {
            "first_name": "Elizabeth",
            "middle_name": "",
            "last_name": "Yetter",
            "name_suffix": "",
            "institution": "Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York",
            "department": ""
        }
    ],
    "date_submitted": "2024-01-06T22:12:44.687000Z",
    "date_accepted": "2024-02-16T07:09:37.231000Z",
    "date_published": "2024-08-09T16:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "PDF",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/6663/galley/24656/download/"
        }
    ]
}