Bacterial sacroiliitis and gluteal abscess after dilation and curettage for incomplete abortion.
BACKGROUND
Pyogenic infection with Streptococcus agalactiae is a potentially life-threatening disease associated with significant morbidity and mortality. This type of infection has seldom been reported as a complication of dilation and curettage after an incomplete abortion.


METHODS
A young woman presented to the emergency department with rapidly progressive left-sided lower back pain, general malaise, and chills evolving over the previous 48-hours after dilation and curettage for incomplete abortion. Streptococcus agalactiae was isolated in the blood. The patient developed pelvic osteomyelitis despite aggressive medical therapy and required prolonged treatment before significant clinical improvement was noted.


CONCLUSIONS
Although very rare, serious pyogenic complications of dilation and curettage after incomplete abortion do occur and may present a diagnostic challenge.
Yansouni
Cedric P
CP
From the Division of Infectious Diseases and Medical Microbiology and Division of Obstetrics and Gynecology, McGill University Health Centre, and Département de Microbiologie Médicale et Infectiologie, Centre Hospitalier de l'Université de Montréal, Université de Montréal, Montreal, Quebec, Canada.
Ponette
Vincent
V
Rouleau
Danielle
D
D000027:Abortion, Incomplete / Q000601:surgery*; D000038:Abscess / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D002081:Buttocks; D004107:Dilatation and Curettage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D012446:Sacroiliac Joint; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013292:Streptococcus agalactiae