Septic shock due to Klebsiella pneumoniae after medical abortion with misoprostol-only regimen

Abstract

Objective: To report a case of a healthy woman who was admitted to the hospital with septic shock caused by a common uropathogen after self-administration of misoprostol for pregnancy termination. Design: Case report. Setting: Tertiary hospital. Patient(s): A 38-year-old woman, gravida 5, para 3, who developed septic shock after medical termination of pregnancy. Intervention(s): Suction curettage, antibiotic treatment, plasma and platelet transfusions. Main Outcome Measure(s): Klebsiella pneumoniae was isolated from blood samples. Result: Ten days after her admission she was discharged home in good condition on oral antibiotics. Conclusion(s): Severe infections leading to septic shock from common pathogen bacteria can occur after medical termination of pregnancy, independently of the regimen used.