title: [Clostridium infection in the puerperium following cesarean section].
abstract: Clostridium perfringens infections in the puerperal period are rare. A 22-year old patient, after caesarean section at another hospital, was admitted to our clinic showing clinical signs of haemolysis, slight uraemia, a crepitation of tissue and sonographical signs of air bubble formation in the uterus. Since clostridium perfringens infections show a high mortality rate, early operative measures under high-dose Penicillin treatment are indicated. In this case, hysterectomy and salpingectomy were performed. Both ovaries were unaffected and could be conserved. In addition, a peritoneal lavage was done. Our patient was discharged as cured after a postoperative course without any complications. There is no evidence in the literature for the efficacy of either antitoxin treatment or a high oxygen therapy.
authors.affiliation: I. Frauenklinik der Universität München.
authors.forename: J
authors.initials: J
authors.lastname: Baltzer
authors.forename: K
authors.initials: K
authors.lastname: Geissler
authors.forename: K P
authors.initials: KP
authors.lastname: Gloning
authors.forename: T
authors.initials: T
authors.lastname: Schramm
authors.forename: M
authors.initials: M
authors.lastname: Haider
mesh_terms: D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D004716:Endometritis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005187:Fallopian Tubes / Q000601:surgery; D005260:Female; D005738:Gas Gangrene / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D011247:Pregnancy; D011645:Puerperal Infection / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Clostridien-Infektion im Wochenbett nach vorausgegangener Sectio.