Clostridium welchii infection following amniocentesis: a case report and review of the literature.
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.
Hamoda
H
H
Nuffield Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford, UK. haithamhamoda@hotmail.com
Chamberlain
P F
PF
D000031:Abortion, Septic / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000328:Adult; D000649:Amniocentesis / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003015:Clostridium Infections / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D003016:Clostridium perfringens / Q000302:isolation & purification* / Q000472:pathogenicity; D004107:Dilatation and Curettage; D005260:Female; D006801:Humans; D011247:Pregnancy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents