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Meningococcal septic shock after IUD insertion, a case presentation

Gina Romosan1, A Blidisel2, D Grigoras1

  • 1University of Medicine and Pharmacy Victor Babes, Department of Obstetrics and Gynecology no.1, Timisoara, Romania.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|February 8, 2014
PubMed

Insights

Neisseria meningitidis can cause severe sepsis after intrauterine device (IUD) insertion. This case highlights the risk of meningococcal infection in reproductive-age women with IUDs presenting with sepsis symptoms.

Area of Science:

  • Infectious Diseases
  • Gynecology
  • Microbiology

Background:

  • Neisseria meningitidis, a common bacterium, can colonize various mucosal sites beyond the nasopharynx, including the oral cavity and reproductive tract.
  • Intrauterine devices (IUDs) can compromise the endocervical mucosal barrier, potentially facilitating bacterial invasion and systemic spread.

Observation:

  • A 40-year-old woman developed severe septic shock with abdominal pain, spotting, and fever following IUD insertion.
  • Blood and ascites cultures identified Neisseria meningitidis group Y as the causative agent.

Findings:

  • This report details the first documented case of meningococcal sepsis following IUD insertion.
  • While rare, IUDs can be associated with serious infections, including toxic shock syndrome, though typically caused by other bacteria like Staphylococcus aureus or Streptococcus.

Implications:

  • Healthcare providers should consider IUDs as a potential source of infection in reproductive-age women presenting with sepsis symptoms.
  • This case underscores the importance of recognizing less common pathogens in IUD-associated infections and prompt management to prevent severe outcomes.

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