Daghestani Mazin H
Department of Obstetrics and Gynecology, Umm Al-Qura University, Makkah, Saudi Arabia.
SAGE Open Med Case Rep. 2024 May 22;12:2050313X241254990. doi: 10.1177/2050313X241254990. eCollection 2024.
The objective of this case report is to discuss a case of septicemia caused by following cervical cerclage. The study described a case of a 42-year-old female patient who visited the Ante-natal Clinic for a follow-up appointment during the 8th week of gestation. The patient had previously undergone successful in vitro fertilization treatment following 16 years of primary infertility. A routine ultrasound scan revealed cervical dilatation of 2-3 cm. The patient was advised to undergo cervical cerclage insertion. Two days after the surgery, she presented with pneumonia and also experienced vaginal bleeding, necessitating the removal of the cervical cerclage. Unfortunately, the patient suffered a stillbirth. Her condition deteriorated the following day, leading to septic shock and multiple organ dysfunction. After receiving the treatment, the patient was discharged; 2 days after being discharged the patient's blood culture and sensitivity results indicated a significant growth of and a diagnosis of toxic myocarditis. Following 2 months of intensive treatment, the patient showed significant improvement; however, there was the presence of some mild renal impairment and he was ultimately discharged home. Maternal sepsis poses a significant risk to the health and lives of pregnant women. stands out as a primary causative agent after cervical cerclage.
本病例报告的目的是讨论一例因宫颈环扎术后引发败血症的病例。该研究描述了一名42岁女性患者，在妊娠第8周时前往产前诊所进行随访预约。该患者此前经历了16年的原发性不孕，之后成功接受了体外受精治疗。常规超声扫描显示宫颈扩张2 - 3厘米。患者被建议进行宫颈环扎术。手术后两天，她出现了肺炎，还伴有阴道出血，因此需要取出宫颈环扎带。不幸的是，患者发生了死产。第二天她的病情恶化，导致感染性休克和多器官功能障碍。经过治疗后，患者出院；出院两天后，患者的血培养及药敏结果显示有大量[此处原文缺失具体病菌名称]生长，诊断为中毒性心肌炎。经过两个月的强化治疗，患者有显著改善；然而，仍存在一些轻度肾功能损害，最终出院回家。孕产妇败血症对孕妇的健康和生命构成重大风险。[此处原文缺失具体病菌名称]是宫颈环扎术后的主要致病因素。
