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[Severe malnutrition during pregnancy complicated with acute pyelonephritis causing sepsis, refractory septic shock and multiple organ failure: A case report].
Beijing Da Xue Xue Bao Yi Xue Ban
February 2025
Department of Critical Care Medicine, Peking University First Hospital, Beijing 100034, China.
This study reports the diagnosis and treatment of a 26-year-old pregnant woman with severe malnutrition combined with acute pyelonephritis causing sepsis, refractory septic shock and multiple organ failure. A female patient, 26 years old, was admitted to hospital mainly due to "menelipsis for more than 19 weeks, nausea and vomiting for 20 days, fever with fatigue for 3 days". At the end of 19 weeks of intrauterine pregnancy, the patient presented with fever accompanied by urinary tract irritation.
View Article and Find Full Text PDFTricuspid Valve Infective Endocarditis Following Septic Abortion: A Case Report.
Clin Case Rep
December 2024
Patan Academy of Health Sciences Patan Nepal.
The case report examines a rare presentation of tricuspid valve infective endocarditis (TVIE) following a septic abortion. A 31-year-old female presented with persistent high-grade fever, chills, and mild vaginal bleeding post medical termination of pregnancy. Despite initial management for septic abortion, including manual evacuation and antibiotics, her symptoms recurred, necessitating further evaluation.
View Article and Find Full Text PDFEpidemiology, antimicrobial resistance profile and management of carbapenem-resistant Klebsiella pneumoniae among mothers with suspected sepsis in Ethiopia.
Ann Clin Microbiol Antimicrob
September 2024
Institute of Biotechnology, Addis Ababa University, Addis Ababa, Ethiopia.
Article Synopsis
- * A study conducted from June 2021 to December 2023 involved 5 hospitals and found that 10.8% of 5613 women suspected of sepsis had CRKP infections, with high rates of multi-drug resistance (93.9%) and other varying levels of resistance to critical antibiotics.
- * Risk factors such as septic abortion, extended hospitalization, and cesarean wound infections were significantly associated with developing sepsis, and treatment often included combining carbapenem with other antibiotics for resistant strains.
Successful Conservative Management of Second Trimester Spontaneous Abortion Complicated by Clostridial Sepsis.
J Pediatr Adolesc Gynecol
February 2025
Department of Obstetrics and Gynecology, University of Illinois-Chicago, Rockford, IL. Electronic address:
Clostridium perfringens is responsible for 5% of septic abortions. Emergent hysterectomy is often required for patient survival. This can be devastating to patients desiring future fertility.
View Article and Find Full Text PDFPeripartum Uterine Clostridial Myonecrosis: A Report of Two Fatal Cases.
WMJ
July 2024
Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington.
Article Synopsis
- Uterine clostridial myonecrosis is a rare but deadly infection, highlighted by two cases of maternal mortality linked to Clostridium bacteria during childbirth and medication abortion.
- The first case involved a 30-year-old woman with septic shock after labor complications, while the second case involved an adolescent who developed septic shock post-abortion, with both patients dying shortly after hospital admission.
- Timely diagnosis and treatment are critical, requiring quick identification of symptoms and immediate surgical action, such as hysterectomy, along with antibiotics to improve survival chances and prevent fatal outcomes.
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