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Toxic shock syndrome after laminaria insertion.
G Sutkin1, S D Capelle, P M Schlievert
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine and Magee-Womens Hospital, Pittsburgh, Pennsylvania, USA. obggs@ttuhsc.edu
Obstetrics and Gynecology
|November 13, 2001
Summary
Laminaria tents, used for cervical dilation in surgical abortions, can rarely lead to toxic shock syndrome. This rare complication highlights the importance of monitoring for severe infections following the procedure.
Area of Science:
- Reproductive Medicine
- Infectious Diseases
- Obstetrics & Gynecology
Background:
- Laminaria tents are commonly used for cervical dilation in surgical abortions.
- Infectious complications associated with Laminaria tents are considered rare.
Observation:
- A patient developed severe symptoms including dyspnea, hives, fever, tachycardia, and hypotension after Laminaria placement.
- The patient's condition rapidly progressed, necessitating antibiotic treatment and a dilation and evacuation procedure.
Findings:
- Cultures of the amniotic membrane revealed Staphylococcus aureus with staphylococcal enterotoxin C expression.
- The clinical presentation and laboratory findings were consistent with toxic shock syndrome.
Implications:
- This case suggests a potential association between Laminaria cervical dilation and the development of toxic shock syndrome.
- Healthcare providers should maintain a high index of suspicion for toxic shock syndrome in patients presenting with severe symptoms post-Laminaria use.
- Further research may be warranted to elucidate the mechanisms and risk factors for this rare but serious complication.