A CASE OF POSTPARTUM SEPSIS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

A case of postpartum sepsis with a fatal outcome was observed in one of the Moscow maternity hospitals. The patient with labor bacterial vaginosis had ascending endogenous infection that gave rise to a primary endometrial focus with further generalization of the infectious process and with evolving sepsis. Since the infectious process developed with the reduction and depletion of the body’s defensive forces (immunodeficiency), this led to the extremely malignant clinical course with the occurrence of sepsis and infection-toxic shock. Clinical presentation was subtle; typical symptoms were absent. Despite intensive care and surgical and resuscitative measures, death occurred in the patient 70 hours after labor.

Full Text

Restricted Access

About the authors

M. I PETRUKHINA

Russian Medical Academy of Postgraduate Education

Email: epidrmapo@mail.ru

E. P IGONINA

Russian Inspectorate for the Protection of Consumer Rights and Human Welfare in Moscow

A. V SANAMYAN

Russian Inspectorate for the Protection of Consumer Rights and Human Welfare in Moscow

M. N GOLYSHEVA

Russian Inspectorate for the Protection of Consumer Rights and Human Welfare in Moscow

References

  1. Анкирская А.С., Байрамова Г.Р., Муравьева В.В., Прилепская В.Н. Бактериальный вагиноз: особенности клинического течения, диагностики и лечения. Реф. мед. журн. 1998; 6 (5): 5.
  2. Байрамова Г.Р., Прилепская В.Н. Современные принципы диагностики и лечения бактериальных вагинозов. Вестн. Рос. ассоц. акуш.-гин., 1996; 4: 102—104.
  3. Гинекология: Национальное руководство /Под ред. В.И. Кулакова, Г.М. Савельевой, И.Б. Манухина. М., 2009.
  4. Cammack A.L., Buss C., Entringes S. et al. The association between early life adversity and bacterial vaginosis during pregnancy. Am. J. Obstet. Gynec. 2011; 16: 22—24.
  5. Кира Е.Ф. Бактериальный вагиноз. СПб.: Нева-Люкс, 2001.
  6. Laxmi U., Agrawal S., Raghunandan C. et al. Association of bacterial vaginosis with adverse fetomaterial outcome in women with spontaneous preterm labor: a prospective cohort study. J. Matern. Fetal Neonatal. Med. 2011; 11: 45—48.
  7. Modac T., Arora P., Agnes C. et al. Diagnosis of bacterial vaginosis in cases of abnormal vaginal discharge: comparison of clinical and microbiological criteria. J. Infect. Dev. Ctries. 2011; 28: 30—32.
  8. Marrazzo J.M. Interpreting the epidemiology and natural history of bacterial vaginosis: Are we still confused? Anaerobe 2011; 16: 12—16.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2012 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies