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

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.