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Clostridium welchii infection following amniocentesis: a case report and review of the literature
Author(s) -
Hamoda H.,
Chamberlain P. F.
Publication year - 2002
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.409
Subject(s) - amniocentesis , medicine , curettage , caesarean section , pregnancy , haemolysis , obstetrics , gynecology , surgery , antibiotics , prenatal diagnosis , fetus , genetics , immunology , biology , microbiology and biotechnology
We report a case of severe Clostridium welchii infection following amniocentesis with septicaemia, haemolysis, DIC, pulmonary oedema and renal failure. Full recovery occurred following aggressive conservative management using antibiotics, endometrial curettage and intensive monitoring. The patient retained her uterus and had a successful pregnancy two years later although caesarean section for uterine rupture was required. Conservative management with conservation of the uterus and ovaries may be a safe and effective option in the management of severe Clostridium infections, using antibiotics, endometrial curettage and multidisciplinary team input. Copyright © 2002 John Wiley & Sons, Ltd.