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- Title
Clostridium sordelli Toxic Shock After Endometrial Ablation: Review of Gynecologic Cases.
- Authors
Mattson, Jordan N.; Hardy-Fairbanks, Abbey J.
- Abstract
Background:Clostridium sordelli is a rare toxin-mediated infection that has been associated with profound septic shock and a nearly 100% mortality rate in obstetric and gynecologic patients. Case: A 45-year-old female presented with pyometra after a NovaSure® ablation. She became progressively septic after an initial presentation of abdominal pain, leukocytosis, hemoconcentration, and diarrhea. She underwent exploratory laparotomy, total abdominal hysterectomy, and bilateral salpingo-oophorectomy. Tissue cultures were positive for Enterococcus faecalis and C. sordelli. She developed rapid septic shock and acute respiratory distress syndrome, requiring extracorporeal membrane oxygenation. Results: She subsequently had a complete recovery after her sepsis was treated. Conclusions: This is the first report to describe C. sordelli–associated septic shock in a patient who underwent an endometrial ablation. This is also the first case reported of survival of a Clostridium sordelli infection after a gynecologic procedure.
- Subjects
CLOSTRIDIUM diseases; SEPTIC shock; ABDOMINAL surgery; ABDOMINAL pain; DIARRHEA; ENTEROCOCCUS; EXTRACORPOREAL membrane oxygenation; HYSTERECTOMY; LEUCOCYTE disorders; PYOMETRA; ADULT respiratory distress syndrome; ENDOMETRIAL ablation techniques; HYSTERO-oophorectomy; DISEASE risk factors
- Publication
Journal of Gynecologic Surgery, 2018, Vol 34, Issue 6, p311
- ISSN
1042-4067
- Publication type
Article
- DOI
10.1089/gyn.2018.0037