Cervical Ectopic Pregnancy Complicated by Escherichia Coli Septicemia: A Case Report.
Cervical ectopic pregnancy is an uncommon form of ectopic pregnancy. The spectrum of treatment options includes systemic medical therapy, local injection with methotrexate and/or potassium chloride, surgery, or a combination of these modalities.



A 29-year-old woman, gravida 3, aborta 2, was found to have a cervical ectopic pregnancy on ultrasound at 5+6 weeks' gestation. She presented to the hospital with vaginal bleeding. Treatment was initiated with multidose methotrexate and leucovorin rescue. She subsequently developed Gram-negative septicemia, with blood cultures growing Escherichia coli. This was managed successfully by surgical removal of the ectopic pregnancy and antimicrobial therapy.



A cervical ectopic pregnancy can be complicated by E. coli septicemia.
Department of Obstetrics and Gynecology, McMaster University, Hamilton ON.
Richard J
RJ
Persadie
Department of Obstetrics and Gynecology, McMaster University, Hamilton ON.
Dustin
D
Costescu-Green
Department of Obstetrics and Gynecology, McMaster University, Hamilton ON.
Katherine M
KM
Gerster
D000020:Abortifacient Agents, Nonsteroidal / Q000627:therapeutic use; D000328:Adult; D002584:Cervix Uteri / Q000000981:diagnostic imaging / Q000473:pathology; D004927:Escherichia coli Infections / Q000150:complications / Q000175:diagnosis; D005260:Female; D006801:Humans; D002955:Leucovorin / Q000627:therapeutic use; D008727:Methotrexate / Q000627:therapeutic use; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D018805:Sepsis / Q000150:complications / Q000175:diagnosis
D000020:Abortifacient Agents, Nonsteroidal; D002955:Leucovorin; D008727:Methotrexate
Cervical ectopic pregnancy; methotrexate; septicemia