Endotoxic shock after gamete intrafallopian transfer
Date
2005
Authors
Slabbert D.R.
Kruger T.F.
Siebert T.I.
Stead P.
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Abstract
Objective: To report an extremely rare case of endotoxic shock due to Enterobacter cloacae that occurred after laparoscopy for gamete intrafallopian transfer (GIFT) in a nulligravid woman. Design: Private fertility center in Cape Town, South Africa. Setting: Case report. Patient(s): A 34-year-old woman with primary infertility. Intervention(s): Routine preparation for GIFT procedure, sonar aspiration to obtain oocytes, followed by GIFT. Endotoxic shock developed within hours after the procedure, followed by admission to the intensive care unit, intravenous antibiotic therapy, mechanical ventilation, and abdominal hysterectomy. Main Outcome Measure(s): Preventing patient mortality and morbidity. Result(s): Discharge from the intensive care unit occurred on day 11 after GIFT, which was day 8 after surgery. A MEDLINE search (1980 to 2003) found no previous literature on endotoxic shock associated with assisted reproduction. Conclusion(s): Gram-negative infection with subsequent endotoxic shock after assisted reproductive techniques is extremely rare. As this case report shows, early diagnosis and active management of these cases are mandatory to prevent serious complications and mortality. ©2005 by American Society for Reproductive Medicine.
Description
Keywords
amikacin, antiinfective agent, cefuroxime, ciprofloxacin, clomifene citrate, human menopausal gonadotropin, metronidazole, abdominal hysterectomy, adult, article, artificial ventilation, case report, female, female infertility, gamete intrafallopian transfer, Gram negative infection, hospital admission, hospital discharge, human, intensive care unit, MEDLINE, morbidity, mortality, oocyte, postoperative period, priority journal, reaction time, septic shock, Adult, Cross Infection, Enterobacter cloacae, Enterobacteriaceae Infections, Female, Gamete Intrafallopian Transfer, Humans, Hysterectomy, Infertility, Female, Laparoscopy, Pregnancy, Reproductive Techniques, Assisted, Shock, Septic, Treatment Outcome, Uterine Diseases
Citation
Fertility and Sterility
83
4
83
4