Yeungnam Univ J Med.  2018 Dec;35(2):248-252. 10.12701/yujm.2018.35.2.248.

Puerperal septic shock and necrotizing fasciitis caused by Staphylococcus caprae and Escherichia coli

• Koo YJ

• KMID: 2433749
• DOI: http://doi.org/10.12701/yujm.2018.35.2.248

Abstract

Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.

Keyword

Postpartum period; Puerperal infection; Septic shock

MeSH Terms

Animals
Cesarean Section
Escherichia coli*
Escherichia*
Fasciitis, Necrotizing*
Female
Goats*
Humans
Mortality
Pelvic Infection
Postpartum Period
Pregnancy
Puerperal Infection
Sepsis
Shock, Septic*
Staphylococcus*
Wound Infection

Figure

• 

  Fig. 1. Contrast-enhanced pelvic computed tomography images. (A) A negative pressure wound therapy dressing was placed after the cesarean scar was opened (arrow). (B) An axial image showing severe swelling and inflammatory infiltrates in the vulva (arrow).

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