• Fertility and sterility · Sep 2010

    Case Reports

    Septic shock due to Klebsiella pneumoniae after medical abortion with misoprostol-only regimen.

    • Apostolos Kaponis, Stefania Papatheodorou, and George Makrydimas.
    • Department of Obstetrics and Gynecology, Ioannina University School of Medicine, Ioannina, Greece. jkaponisapostolos@hotmail.com
    • Fertil. Steril. 2010 Sep 1; 94 (4): 1529.e3-5.

    ObjectiveTo report a case of a healthy woman who was admitted to the hospital with septic shock caused by a common uropathogen after self-administration of misoprostol for pregnancy termination.DesignCase report.SettingTertiary hospital.Patient(S)A 38-year-old woman, gravida 5, para 3, who developed septic shock after medical termination of pregnancy.Intervention(S)Suction curettage, antibiotic treatment, plasma and platelet transfusions.Main Outcome Measure(S)Klebsiella pneumoniae was isolated from blood samples.ResultTen days after her admission she was discharged home in good condition on oral antibiotics.Conclusion(S)Severe infections leading to septic shock from common pathogen bacteria can occur after medical termination of pregnancy, independently of the regimen used.Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

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