Puerperal septic shock complicated with symmetrical peripheral gangrene: A case report.
Medicine (Baltimore)
; 103(13): e37571, 2024 Mar 29.
Article
en En
| MEDLINE
| ID: mdl-38552074
ABSTRACT
RATIONALE Puerperal sepsis is a life-threatening condition caused by infection that can rapidly progress to multisystem infection and toxin-mediated shock. Symmetrical peripheral gangrene is defined as symmetrical distal ischemic damage in two or more sites in the absence of major vascular occlusive disease. The syndrome is devastating and rare. In this study, we introduce a case of puerperal septicemia complicated by symmetrical peripheral gangrene. PATIENT CONCERNS A 23-year-old woman delivered a live female infant vaginally after cervical balloon dilatation at 39 weeks of gestation. Persistent hyperthermia developed on the first postpartum day. After experiencing ventricular fibrillation, acute liver failure, and acute pulmonary edema, she developed blackened extremities on the 5th postpartum day. DIAGNOSES Puerperal septicemia complicated by symmetrical peripheral gangrene. INTERVENTIONS:
Upon transfer to our hospital, the patient was enrolled in the intensive care unit and underwent anti-infective and amputation surgery.OUTCOMES:
After the surgery, the patient recovered well and was successfully discharged from the hospital. LESSONS Early detection and timely treatment is the best way to reduce the mortality and sequelae of puerperal sepsis. Physicians should be alert to the possibility of comorbid symmetrical peripheral gangrene when sepsis patients present with hepatic impairment.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
2_ODS3
/
4_TD
Problema de salud:
2_mortalidade_materna
/
2_muertes_prevenibles
/
4_sepsis
Asunto principal:
Choque Séptico
/
Gangrena
Límite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2024
Tipo del documento:
Article
País de afiliación:
China