{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T03:41:10Z","timestamp":1788493270397,"version":"build-2803163510"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,15]],"date-time":"2026-02-15T00:00:00Z","timestamp":1771113600000},"content-version":"vor","delay-in-days":45,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Delayed diagnosis concerns most septic infections and results in worse prognosis. We present a case of a 35\u2010year\u2010old pregnant woman with two severe maternal infections in whom rapid implementation of MEOWS and further treatment avoided septic deterioration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Description<\/jats:title>\n                    <jats:p>\n                      We report a case of a 26\u2010week gravida that was admitted due to fever, chills, muscle pain, headache, and chest pain. Clinical examination ruled out signs of preterm labor. Elevated results of implemented MEOWS prompted rapid initiation of broad\u2010spectrum antibiotic therapy. A microbiological examination of urine and blood confirmed\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      MSSA. Quick implementation of the therapy allowed for the normalization of inflammatory parameters, and the patient was discharged. Three days after, she returned with similar, flu\u2010like signs. As with the first admission, the increase in the MEOWS score preceded the increase in inflammatory parameters. The patient went into premature labor at 30 weeks of gestation. Although histopathological examination of the placenta revealed inflammatory features, the source of infection has not been identified. Continuation of antibiotic therapy normalized inflammatory parameters, and she was discharged 8 days after the delivery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Delayed diagnosis is one of the most relevant factors affecting prognosis of maternal sepsis. The use of MEOWS may accelerate the decision to implement therapy and reduce maternal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crog\/7437378","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T11:38:58Z","timestamp":1771241938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Early Detection of Septic Patient\u2032s Deterioration Based on the Modified Early Obstetric Warning Score (MEOWS)\u2014Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4831-0417","authenticated-orcid":false,"given":"Patryk","family":"Mickiewicz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6466-9059","authenticated-orcid":false,"given":"Andrzej","family":"Jaworowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7822-2434","authenticated-orcid":false,"given":"Magdalena","family":"Ko\u0142ak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4353-5884","authenticated-orcid":false,"given":"Pawe\u0142","family":"Krawczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6661-6893","authenticated-orcid":false,"given":"Hubert","family":"Huras","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,15]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-010-1951-0"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001672"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(14)70227-X"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2024.101355"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.03.027"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000217961.75225.E9"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1666864"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/7437378","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crog\/7437378","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/7437378","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:16:39Z","timestamp":1774617399000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crog\/7437378"}},"subtitle":[],"editor":[{"given":"Karuna","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crog\/7437378"],"URL":"https:\/\/doi.org\/10.1155\/crog\/7437378","archive":["Portico"],"relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"value":"2090-6684","type":"print"},{"value":"2090-6692","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-08-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7437378"}}