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Meningitis sepsis after IUD insertion, a case presentation.

Romosan, Gina LU ; Blidisel, A; Grigoras, D; Houtsios, A and Ionac, M (2013) In Revista Medico-Chirurgicala A Societat II de Medici Si Naturalisti Din Iasi 117(4). p.929-933
Abstract
Neisseria meningitidis is a normal commensal of human mucous membranes that is no longer considered to be restricted to the nasopharynx. Due to the practice of oral sex, the mucous membranes of the cervix, urethra or anus have become a potential infection site for this bacterium. Inserting an intrauterine device (IUD), can alter the protective barrier of the endocervical mucosa, allowing for bacterial infection and systemic spread. We present a case report of a 40-year-old woman who presented with abdominal pain, spotting and fever after inserting an IUD and developed a fulminant septical shock. Blood cultures and cultures from ascites showed the presence of Neisseria meningitidis group Y. From our knowledge, there are a few cases... (More)
Neisseria meningitidis is a normal commensal of human mucous membranes that is no longer considered to be restricted to the nasopharynx. Due to the practice of oral sex, the mucous membranes of the cervix, urethra or anus have become a potential infection site for this bacterium. Inserting an intrauterine device (IUD), can alter the protective barrier of the endocervical mucosa, allowing for bacterial infection and systemic spread. We present a case report of a 40-year-old woman who presented with abdominal pain, spotting and fever after inserting an IUD and developed a fulminant septical shock. Blood cultures and cultures from ascites showed the presence of Neisseria meningitidis group Y. From our knowledge, there are a few cases presented in the literature of toxic shock syndrome after IUD insertion, caused by Staphylococcus aureus or Streptococcus group A, but this is the first case of meningococcal sepsis after IUD insertion described. So, even though IUDs rarely cause significant infection, physicians should consider this device as a possible source in reproductive-aged women with the clinical features of sepsis. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Revista Medico-Chirurgicala A Societat II de Medici Si Naturalisti Din Iasi
volume
117
issue
4
pages
929 - 933
publisher
Societatea de Medici si Naturalisti din Iasi
external identifiers
  • PMID:24502071
ISSN
0048-7848
language
English
LU publication?
yes
id
0d655840-87dc-4846-ac83-0afdb32e141c (old id 4335479)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24502071?dopt=Abstract
date added to LUP
2014-03-06 19:53:16
date last changed
2016-04-16 06:42:18
@misc{0d655840-87dc-4846-ac83-0afdb32e141c,
  abstract     = {Neisseria meningitidis is a normal commensal of human mucous membranes that is no longer considered to be restricted to the nasopharynx. Due to the practice of oral sex, the mucous membranes of the cervix, urethra or anus have become a potential infection site for this bacterium. Inserting an intrauterine device (IUD), can alter the protective barrier of the endocervical mucosa, allowing for bacterial infection and systemic spread. We present a case report of a 40-year-old woman who presented with abdominal pain, spotting and fever after inserting an IUD and developed a fulminant septical shock. Blood cultures and cultures from ascites showed the presence of Neisseria meningitidis group Y. From our knowledge, there are a few cases presented in the literature of toxic shock syndrome after IUD insertion, caused by Staphylococcus aureus or Streptococcus group A, but this is the first case of meningococcal sepsis after IUD insertion described. So, even though IUDs rarely cause significant infection, physicians should consider this device as a possible source in reproductive-aged women with the clinical features of sepsis.},
  author       = {Romosan, Gina and Blidisel, A and Grigoras, D and Houtsios, A and Ionac, M},
  issn         = {0048-7848},
  language     = {eng},
  number       = {4},
  pages        = {929--933},
  publisher    = {ARRAY(0xc4eb2e0)},
  series       = {Revista Medico-Chirurgicala A Societat II de Medici Si Naturalisti Din Iasi},
  title        = {Meningitis sepsis after IUD insertion, a case presentation.},
  volume       = {117},
  year         = {2013},
}