{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T21:10:04Z","timestamp":1723065004833},"reference-count":0,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2001,1]]},"abstract":"<jats:p><jats:italic>Background:<\/jats:italic> We report a youngwoman who developed septic shock after operative delivery in the 32nd week of\npregnancy.Clinical features, treatment modalities and prognosis of this high\u2010mortality\u2010rate disorder are presented\nand discussed.<\/jats:p><jats:p><jats:italic>Case:<\/jats:italic> A 24\u2010year\u2010old woman, gravida 1, para 1, was referred to our clinic in a confused state and immediately\nadmitted to our emergency unit. She apparently had eclampsia antenatally. Termination of pregnancy with\ninduction of labor and vacuum extraction had been employed in gestational week 32 of pregnancy. One day after\ndelivery, her clinical and laboratory parameters worsened, so she was referred to our clinic. After a thorough\nphysical examination and laboratory evaluation, the patient was diagnosed as having sepsis and disseminated\nintravascular coagulation. After blood and urine cultures were taken, aggressive management included volume\nrepletion, antibiotics and positive inotropic therapy. Because she had persistent fever and unimproved laboratory\nvalues despite these therapies, the uterus and ovaries were thought to be the source of sepsis, and total abdominal\nhysterectomy and bilateral salpingo\u2010oophorectomy were performed. Neither clinical nor laboratory parameters\nimproved, and the patient died 28 days after delivery as a result of respiratory failure.<\/jats:p><jats:p><jats:italic>Conclusion:<\/jats:italic> It is our purpose to emphasize that a rapid and appropriate decision for surgery may prevent the\nmaternal mortality in obstetric septic shock patients. Successful management depends on early identification and\naggressive treatment.<\/jats:p>","DOI":"10.1155\/s1064744901000096","type":"journal-article","created":{"date-parts":[[2007,3,7]],"date-time":"2007-03-07T13:08:38Z","timestamp":1173272918000},"page":"51-54","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Septic Shock Resulting in Death After Operative Delivery"],"prefix":"10.1155","volume":"9","author":[{"given":"Zehra Ne\u015fe","family":"Kavak","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alin","family":"Ba\u015fg\u00fcl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2000,11,28]]},"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2001\/406862.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2001\/406862.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/S1064744901000096","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T20:42:36Z","timestamp":1723063356000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/S1064744901000096"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,11,28]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2001,1]]}},"alternative-id":["10.1155\/S1064744901000096"],"URL":"https:\/\/doi.org\/10.1155\/s1064744901000096","archive":["Portico"],"relation":{},"ISSN":["1064-7449"],"issn-type":[{"type":"print","value":"1064-7449"}],"subject":[],"published":{"date-parts":[[2000,11,28]]},"assertion":[{"value":"2000-07-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-11-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2000-11-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}