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Maternal peripartum septic shock caused by intrauterine infection with Edwardsiella tarda : A case report and review of the literature
Author(s) -
Miyazawa Yuki,
Murakami Keisuke,
Kizaki Yuichiro,
Itaya Yukiko,
Takai Yasushi,
Seki Hiroyuki
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13476
Subject(s) - edwardsiella tarda , medicine , disseminated intravascular coagulation , chorioamnionitis , septic shock , bacteremia , surgery , sepsis , obstetrics , immunology , pregnancy , fetus , microbiology and biotechnology , antibiotics , genetics , bacteria , biology
Edwardsiella tarda ( E. tarda ) is a rare pathogen in humans, especially during the peripartum period. Only a few cases of fatal neonatal infection with E. tarda have been reported. Herein, we describe a case of maternal septicemia caused by E. tarda following peripartum chorioamnionitis. The mother developed septic shock, disseminated intravascular coagulation and a post‐ c esarean wound hematoma with abscess. Her condition improved with multidisciplinary therapy including blood transfusion, antimicrobial agents, recombinant thrombomodulin and surgical debridement. E. tarda was isolated from the maternal blood, c esarean wound and neonatal skin, pharynx and gastric fluid. This case demonstrates that peripartum infection with E. tarda is a rare but life‐threatening condition, not only for the neonate but also for the mother.