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

Fertil Steril. 2010 Sep;94(4):1529.e3-1529.e5. doi: 10.1016/j.fertnstert.2010.02.025. Epub 2010 Mar 19.

Abstract

Objective: To 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.

Design: Case report.

Setting: Tertiary 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.

Result: Ten 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.

Publication types

  • Case Reports

MeSH terms

  • Abortifacient Agents / adverse effects
  • Abortifacient Agents / therapeutic use
  • Abortion, Induced / adverse effects*
  • Abortion, Induced / methods
  • Abortion, Induced / rehabilitation
  • Adult
  • Female
  • Humans
  • Klebsiella Infections / chemically induced
  • Klebsiella Infections / complications*
  • Klebsiella Infections / diagnosis
  • Klebsiella pneumoniae / drug effects
  • Misoprostol / adverse effects
  • Misoprostol / therapeutic use*
  • Pregnancy
  • Self Administration
  • Shock, Septic / diagnosis
  • Shock, Septic / etiology*

Substances

  • Abortifacient Agents
  • Misoprostol