Internal Medicine, Yale New Haven Health, Bridgeport, Connecticut, USA
Infectious Diseases, Yale School of Medicine, New Haven, Connecticut, USA.
BMJ Case Rep. 2022 Oct 13;15(10):e250097. doi: 10.1136/bcr-2022-250097.
A young woman in her 20s presented with fever, abdominal pain and malodourous vaginal discharge. She was found to be in septic shock, in the setting of a recent medical abortion with subsequent intrauterine device placement. Her blood cultures grew Despite appropriate antibiotic therapy, the fever failed to defervesce. Subsequent evaluation revealed septic thrombophlebitis of the right gonadal vein and branches of the right iliac vein. She improved with a prolonged course of targeted antimicrobial therapy.
一位 20 多岁的年轻女性因发热、腹痛和有异味的阴道分泌物就诊。检查发现其处于感染性休克状态，近期行药物流产后放置宫内节育器。其血培养结果阳性。尽管给予了适当的抗生素治疗，但发热仍未消退。进一步检查显示右侧卵巢静脉和右侧髂静脉分支的感染性血栓性静脉炎。经过延长疗程的靶向抗菌治疗后，她的病情有所改善。
