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Overwhelming maternal sepsis due to a gas-forming Escherichia coli chorioamnionitis

V Catanzarite1, J M Schibanoff, R Chinn

  • 1Department of Maternal Fetal Medicine, Mary Birch Hospital for Women, San Diego, California.

We report a case of a patient who developed fulminant sepsis and respiratory distress caused by a gas-forming Escherichia coli intrauterine infection following premature rupture of the membranes and fetal death. Such gas-forming infections are rare, and, when they occur, they are usually caused by Clostridium welchii. This patient was treated with antibiotics, ventilator support, and hysterectomy, and at follow-up was in good health.

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