Clinical Conundrum: Neisseria meningitidis Septic Abortion
| Autor: | Saul L. Offman, Yahya Shabi, Jocelyn Stairs, Glenn Patriquin, Marianne Pierce |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.drug_class medicine.medical_treatment Antibiotics Abortion medicine.disease_cause law.invention 03 medical and health sciences 0302 clinical medicine law medicine 030212 general & internal medicine Intensive care medicine Septic abortion 030219 obstetrics & reproductive medicine biology business.industry Septic shock Neisseria meningitidis Obstetrics and Gynecology medicine.disease biology.organism_classification Intensive care unit Curettage Neisseria business |
| Zdroj: | Journal of Obstetrics and Gynaecology Canada. 43:497-499 |
| ISSN: | 1701-2163 |
| Popis: | Septic shock after abortion is an important cause of global maternal mortality but is rarely encountered in developed countries. We describe a case of septic abortion with a novel associated pathogen: Neisseria meningitidis. A 30-year-old multiparous woman presented in septic shock after an incomplete spontaneous abortion. She received empiric antibiotics and vasopressors, underwent an urgent dilatation and curettage, and was admitted to the intensive care unit. Her blood cultures and endometrial tissue were positive for N. meningitidis. Antibiotics were adjusted based on culture, and the patient recovered. Septic shock requires prompt identification, antibiotic administration, and source control. Here, we identify an uncommon pathogen associated with septic abortion and highlight the importance of broad empiric and subsequent culture-guided antibiotic choice to ensure coverage. |
| Databáze: | OpenAIRE |
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