Author:
Covin Brianna Danielle,Chapa Hector,Pham Nastassia
Abstract
A 22-year-old woman presented to the emergency room with right lower abdominal pain. A CT scan suggested potential appendicitis and perforation. She had no relevant medical or surgical history, and she last had vaginal sex 4 years prior to admission. During surgery, turbid fluid, secondary inflammatory changes, and dilated, fluid-filled fallopian tubes pointed to a diagnosis of pelvic inflammatory disease (PID), so she was started on azithromycin, metronidazole and piperacillin/tazobactam. The following day, she continued to have abdominal pain and developed tachycardia, hypotension, a marked leukemoid response, haemoconcentration, third space fluid accumulation and acidosis. Culture results led to her being further diagnosed with Clostridium perfringens PID with peritonitis and toxic shock syndrome. A gynaecological infection of C. perfringens leading to toxic shock syndrome is both extremely rare and highly fatal. Her antibiotics were changed to meropenem and clindamycin, and she slowly made a full recovery.
Reference12 articles.
1. Epidemiology of Clostridium species bacteremia in Calgary, Canada, 2000–2006
2. Gynecologic Clostridial Toxic Shock in Women of Reproductive Age
3. Anaerobic bacteria as cause of infections in female genital organs;Bergan;Scand J Gastroenterol Suppl,1983
4. Pelvic inflammatory disease: diagnosis, management, and prevention;Curry;Am Fam Physician,2019
5. Pelvic inflammatory disease and sepsis;Dulin;Crit Care Nurs Clin North Am,2003
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