Fatal toxic shock syndrome associated with Clostridium sordellii after medical abortion. | Read by QxMD
Case Reports
Journal Article
Marc Fischer, Julu Bhatnagar, Jeannette Guarner, Sarah Reagan, Jill K Hacker, Sharon H Van Meter, Vadims Poukens, David B Whiteman, Anthony Iton, Michele Cheung, David E Dassey, Wun-Ju Shieh, Sherif R Zaki
Endometritis and toxic shock syndrome associated with Clostridium sordellii have previously been reported after childbirth and, in one case, after medical abortion. We describe four deaths due to endometritis and toxic shock syndrome associated with C. sordellii that occurred within one week after medically induced abortions. Clinical findings included tachycardia, hypotension, edema, hemoconcentration, profound leukocytosis, and absence of fever. These cases indicate the need for physician awareness of this syndrome and for further study of its association with medical abortion.
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