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由绒毛膜羊膜炎引起的产气荚膜梭菌导致的产后感染性休克:一例罕见病例。

Postpartum Septic Shock Due to Clostridium Perfringens From Chorioamnionitis: A Rare Case.

作者信息

Subahi Eihab A, Sayed Sagda, Fadul Abdalla, Ali Elrazi A

机构信息

Department of Internal Medicine, Hamad Medical Corporation, Doha, QAT.

Department of Psychiatry, Hamad Medical Corporation, Doha, QAT.

出版信息

Cureus. 2023 Apr 24;15(4):e38075. doi: 10.7759/cureus.38075. eCollection 2023 Apr.

Abstract

Although postpartum infections caused by species are relatively rare, they can have severe consequences if not promptly identified and treated. Clostridial uterine infections typically originate as localized chorioamnionitis, stemming from fetal and/or placental tissue infection. The infection may then spread to the uterine wall and endometrial tissues, and in the most severe cases, it may result in sepsis and shock. These infections can cause serious illness and a high mortality rate without proper treatment. We describe the case of a 26-year-old primigravida woman at 39 weeks gestation who presented with active labor. was isolated from her blood culture, which led to an intrapartum fever and postpartum septic shock. The patient was admitted to the intensive care unit and received appropriate management, resulting in a favorable outcome.

摘要

虽然由该菌种引起的产后感染相对罕见,但如果不能及时识别和治疗,可能会产生严重后果。梭菌性子宫感染通常起源于局限性绒毛膜羊膜炎,由胎儿和/或胎盘组织感染引起。感染随后可能扩散到子宫壁和子宫内膜组织,在最严重的情况下,可能导致败血症和休克。如果没有适当的治疗,这些感染会导致严重疾病和高死亡率。我们描述了一名26岁初产妇的病例,她在妊娠39周时出现活跃分娩。从她的血培养中分离出了该菌种,这导致了产时发热和产后感染性休克。患者被收入重症监护病房并接受了适当的治疗,结果良好。

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