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Bibliographical entry (without author) : | Choc septique compliquant une amniocentèse. Gynécologie Obstétrique & Fertilité 2000;28(11):832-834. |
Author(s) : | Petrov Thabet N, Thabet H, Zaghdoudi I, Brahmi N, Chelli H, Amamou M. |
Year of publication : | 2000 |
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Résumé (français) : | L’incidence des complications infectieuses majeures secondaires à l’amniocentèse n’est pas bien connue. Nous rapportons une observation de choc septique secondaire à ce procédé. Il s’agit d’une patiente âgée de 34 ans, qui à la suite d’une amniocentèse pratiquée à 16 semaines d’aménorrhée, développe un tableau de choc septique d’une extrême gravité avec défaillance multiviscérale. Les résultats des prélèvements bactériologiques montrent au niveau de deux hémocultures la présence de Klebsiella pneumoniae et d’un Enterobacter. L’évolution sous traitement symptomatique et antibiothérapie adaptée est favorable. La patiente quitte l’hôpital au bout de trois mois. |
Abstract (English) : | Amniocentesis is a routine technique for prenatal diagnosis. The incidence of severe intra-amniotic infection is very low. We report a case of septic shock following an amniocentesis in a 34-year-old women. Patient admitted in intensive care unit and need mechanical ventilation and vasoactives drugs to control hemodynamic pertubation. Bacteriological data showed positive polymicrobial blood cultures to Klebsiella pneumoniae and Enterobacter. The patient gradually improved, however her renal function was still impaired and she was discharged three months after admission. |
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Keywords : | ➡ infections ; screening ; trisomy |
Author of this record : | Cécile Loup — 20 Feb 2004 |
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