The entry site of GAS in patients with peritonitis is not well
understood.35 The predominance of women among patients suffering
from GAS peritonitis foster the suspicion of ascending infections
of the genitourinary tract, since GAS are often part of the vaginal
flora.38 Increased virulence of some GAS serotypes as well as an
impaired humoral response may further contribute to the increasing
frequency of invasive GAS infections.36 Other potential entry