In:
Fetal Diagnosis and Therapy, S. Karger AG, Vol. 13, No. 2 ( 1998), p. 98-99
Abstract:
The case of a pregnant woman (16th week) needing an amniocentesis is reported. She rapidly developed a septic shock. Despite vaginal delivery, curettage and antibiotherapy, the patient deteriorated with the onset of an acute respiratory distress syndrome and a typical disseminated intravascular coagulation. Bacteriological data showed positive blood cultures to 〈 i 〉 Escherichis coli 〈 /i 〉 . Amniotic liquid was positive to the same 〈 i 〉 E. coli 〈 /i 〉 . Cultures obtained from instruments, disinfectant solutions and gel used during the procedure were negative. On the contrary, amniotic and fetal cultures were positive to 〈 i 〉 E. coli 〈 /i 〉 and 〈 i 〉 Clostridium perfringens 〈 /i 〉 . She died 2 days later.The incidence of septic shock following amniocentesis is very low but we report the first case of fatal sepsis and multiorgan failure, due to 〈 i 〉 E. coli 〈 /i 〉 and 〈 i 〉 C. perfringens 〈 /i 〉 . The mechanisms of infection are discussed: contamination from the instruments, systemic dissemination of bacteria coming from an asymptomatic intra-amniotic infection, and inoculation of the placenta with a needle passing through the bowel.
Type of Medium:
Online Resource
ISSN:
1015-3837
,
1421-9964
Language:
English
Publisher:
S. Karger AG
Publication Date:
1998
detail.hit.zdb_id:
1482292-1
