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Carbapenem Resistant Organisms: An Unusual Aetiology for Puerperal Sepsis

Vaibhav Londhe1, Reeta Vijayaselvi1, V Balaji2

  • 1Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College , Vellore, Tamil Nadu, India .

Journal of Clinical and Diagnostic Research : JCDR
|September 23, 2015
PubMed

Puerperal infection is a common complication of labour. It occurs universally and is usually responsive to first line antibiotics. However, resistance to first line antibiotics and even second line antibiotics is becoming more wide spread. We report a case of puerperal infection caused by carbapenem resistant organisms leading to prolonged fever and hospitalisation. A 28-year-old primigravida, following caesarean section done elsewhere, for elevated blood pressure presented with high grade fever. The patient was treated with antibiotic to which she failed to respond. She underwent laparotomy twice and only improved after Colistin was combined with Meropenam, based on urine and pus culture reports.

Keywords:
Drug resistanceFeverLaparotomyPuerperal infection

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