Brief report -: Fatal toxic shock syndrome associated with Clostridium sordellii after medical abortion

被引：165

作者：

Fischer, M

Bhatnagar, J

Guarner, J

Reagan, S

Hacker, JK

Van Meter, SH

Poukens, V

Whiteman, DB

Iton, A

Cheung, M

Dassey, DE

Shieh, WJ

Zaki, SR

机构：

[1] Ctr Dis Control & Prevent, Ft Collins, CO 80522 USA

[2] Calif Emerging Infect Program, Richmond, CA USA

[3] Alameda Cty Coroners Off, Oakland, CA USA

[4] Dept Hlth, Oakland, CA USA

[5] Dept Coroner, Los Angeles, CA USA

[6] Dept Hlth Serv, Los Angeles, CA USA

[7] Orange Cty Hlth Care Agcy, Santa Clara, CA USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2005年 / 353卷 / 22期

关键词：

D O I：

10.1056/NEJMoa051620

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Endometritis and toxic shock syndrome associated with Clostridium sordiellii 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 tachycardia, hypotension, edema, hemoconcentration, profound leukocytosis, absence of fever. These cases indicate the need for physician awareness of this and for further study of its association with medical abortion.

引用

页码：2352 / 2360

页数：9

共 38 条

[1] The clinical spectrum of Clostridium sordellii bacteraemia:: two case reports and a review of the literature [J].