Clinical Conundrum: Neisseria meningitidis Septic Abortion

Jocelyn Stairs, Yahya Shabi, Glenn Patriquin, Saul Offman, Marianne Pierce

Research output: Contribution to journalArticlepeer-review

Abstract

Septic shock after abortion is an important cause of global maternal mortality but is rarely encountered in developed countries. We describe a case of septic abortion with a novel associated pathogen: Neisseria meningitidis. A 30-year-old multiparous woman presented in septic shock after an incomplete spontaneous abortion. She received empiric antibiotics and vasopressors, underwent an urgent dilatation and curettage, and was admitted to the intensive care unit. Her blood cultures and endometrial tissue were positive for N. meningitidis. Antibiotics were adjusted based on culture, and the patient recovered. Septic shock requires prompt identification, antibiotic administration, and source control. Here, we identify an uncommon pathogen associated with septic abortion and highlight the importance of broad empiric and subsequent culture-guided antibiotic choice to ensure coverage.

Original languageEnglish
Pages (from-to)497-499
Number of pages3
JournalJournal of Obstetrics and Gynaecology Canada
Volume43
Issue number4
DOIs
Publication statusPublished - Apr 2021

Bibliographical note

Publisher Copyright:
© 2020 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada.

ASJC Scopus Subject Areas

  • Obstetrics and Gynaecology

PubMed: MeSH publication types

  • Case Reports

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