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Livstruende intrauterin infektion med Clostridium perfringens

Forfatter(e)

Mona Meral Savran1, Ebbe Thinggaard1, 2, Mads Nielsen-Breining1 & Benny Kirschner1

1) Gynækologisk-obstetrisk Afdeling, Hvidovre Hospital 2) Copenhagen Academy for Medical Education and Simulation, Center for HR, Region Hovedstaden Ugeskr Læger 2018;180:V01180019

Reference: 
Ugeskr Læger 2018;180:V01180019
Blad nummer: 
Sidetal: 
2-3
Life-threatening intrauterine infection with Clostridium perfringens

In this case report, a 40-year-old woman with a history of a uterine leiomyoma presented with abdominal pain and fever. Initially, her symptoms were associated with a bleeding from an ovarian cyst seen on a CT scan of the abdomen showing free intraperitoneal fluid surrounding the internal genitals. Meanwhile, her blood cultures came out positive for Clostridium perfringens, and her condition deteriorated despite intravenous antibiotics. A new CT scan revealed intrauterine gas development. A laparotomy was performed with removal of the internal genitals, and the patient improved on continuous antibiotics.

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