ABSTRACT
Puerperal infection with Group A streptococcus (GAS) can present with few symptoms and rapidly progress to a life-threatening condition. Often, the infection can be treated with antibiotics. Delay in diagnosis increases risk of sepsis, multiorgan failure, and death. GAS infection is a differential diagnose for all postpartum women with unexplained symptoms.
ABSTRACT
Infection with genital Chlamydia while undergoing a vaginal instrumentation increases the risk of pelvic inflammatory disease with pain and sterility as sequelae. A literature study was performed in order to find out if screening and treatment for Chlamydia trachomatis should be offered to all women with miscarriages. This article reviews the available literature on the topic. The results show that there is a need for larger clinical trials before an evidence-based answer can be given.
Subject(s)
Abortion, Missed/microbiology , Abortion, Spontaneous/microbiology , Chlamydia Infections/complications , Chlamydia Infections/diagnosis , Chlamydia trachomatis/isolation & purification , Evidence-Based Medicine , Female , Humans , Infertility, Female/microbiology , Mass Screening , Pelvic Inflammatory Disease/microbiology , Pregnancy , Pregnancy Complications, Infectious/microbiology , Vaginal Smears/statistics & numerical dataABSTRACT
Amniotic fluid embolism is a rare unpredictable complication of pregnancy with high maternal morbidity and mortality rates because of the risk of cardio-respiratory collapse and/or disseminated intravascular coagulation (DIC). We here report a case of a patient who survived without any sequelae after two cardiac arrests and subsequent DIC due to amniotic fluid embolism during a caesarean section. Early consideration of the diagnosis after prompt resuscitation is needed to reduce morbidity and mortality.
