Fulminant sepsis after invasive prenatal diagnosis
Loading...
Date
Authors
Plachouras, N.
Sotiriadis, A.
Dalkalitsis, N.
Kontostolis, E.
Xiropotamos, N.
Paraskevaidis, E.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Type
Type of the conference item
Journal type
peer-reviewed
Educational material type
Conference Name
Journal name
Obstet Gynecol
Book name
Book series
Book edition
Alternative title / Subtitle
Description
BACKGROUND: Sepsis is extremely rare after invasive prenatal diagnosis. CASE: A patient, who had undergone amniocentesis at 15 weeks, cordocentesis at 20 weeks, and repeat cordocentesis 24 hours before presentation, was admitted at 21 weeks gestation with vaginal bleeding, rupture of membranes, and intrauterine demise. Although clinical and laboratory findings were unremarkable at presentation, she rapidly developed septic syndrome with disseminated intravascular coagulation and eventually multiple organ failure. The fetus was disintegrated and the uterus had to be removed. She was discharged from the intensive care unit after 34 days. Cultures of the uterine content grew Clostridium perfringens. Review of the literature revealed 10 more cases of sepsis after transabdominal prenatal diagnosis. CONCLUSION: Sepsis after prenatal diagnosis can be devastating, unless promptly diagnosed and treated.
Description
Keywords
Adult, Amniocentesis/*adverse effects, Clostridium Infections, Clostridium perfringens, Cordocentesis/*adverse effects, Female, Fetal Death/microbiology, Humans, Pregnancy, Pregnancy Complications, Infectious/*etiology, Shock, Septic/*etiology/microbiology
Subject classification
Citation
Link
http://www.ncbi.nlm.nih.gov/pubmed/15572484
Language
en
Publishing department/division
Advisor name
Examining committee
General Description / Additional Comments
Institution and School/Department of submitter
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής