{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:58:16Z","timestamp":1781801896566,"version":"3.54.5"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T00:00:00Z","timestamp":1781740800000},"content-version":"vor","delay-in-days":168,"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>Complications of pregnancy and childbearing are one of the most important public health concerns worldwide. Postpartum sepsis remains a leading cause of maternal morbidity and mortality. Early recognition and timely intervention, including surgical source control, when necessary, are critical for improving outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>\n                      We report a 29\u2010year\u2010old gravida 2 woman with a history of opioid use, malnutrition, and very low socioeconomic status. She presented 10 days after a preterm vaginal delivery at 24 weeks\u2032 gestation with severe sepsis. She developed refractory septic shock, with evidence of endometritis, salpingitis, empyema, and renal microabscesses. Blood cultures grew methicillin\u2010resistant\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      (MRSA). Despite aggressive fluid resuscitation and broad\u2010spectrum antibiotics, her condition deteriorated, necessitating a total abdominal hysterectomy with bilateral salpingectomy and chest tube insertion on postpartum Day 14. The patient improved postoperatively and was discharged 14 days after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case highlights the importance of early recognition of postpartum sepsis, rapid initiation of empiric broad\u2010spectrum antibiotics, and multidisciplinary management. Risk factors such as comorbidities, malnutrition, and low socioeconomic status may increase disease severity and complicate management. In cases unresponsive to medical therapy, surgical source control can be lifesaving, even following vaginal delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Clinicians should maintain a low threshold for aggressive intervention in high\u2010risk postpartum patients. Early diagnosis, multidisciplinary care, and timely surgical intervention are key to reducing maternal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crog\/9666897","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:42:36Z","timestamp":1781800956000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Severe Sepsis After Vaginal Delivery: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-7012","authenticated-orcid":false,"given":"Maryam","family":"Dehghan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"e_1_2_10_1_2","volume-title":"Fact Sheet of Maternal Mortality","author":"World Health Organization","year":"2016"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-02991-z"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2017.11.003"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0067175"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005991"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.6026\/973206300212090"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2023.05.019"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.5.1929-1935.2003"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-012-1724-5"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000004979"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/a-2414-7696"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.948791"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-025-03649-8"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/9666897","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crog\/9666897","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crog\/9666897","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:42:37Z","timestamp":1781800957000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crog\/9666897"}},"subtitle":[],"editor":[{"given":"Suraiya","family":"Saleem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crog\/9666897"],"URL":"https:\/\/doi.org\/10.1155\/crog\/9666897","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":"2025-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9666897"}}