Carbapenem Resistant Organisms: An Unusual Aetiology for Puerperal Sepsis
Published: July 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6148
Vaibhav Londhe, Reeta Vijayaselvi, V. Balaji, Santosh J. Benjamin, Rani Diana Sahni
1. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India.
2. Assistant Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India.
3. Professor, Department of Microbiology, Christian Medical College, Vellore, Tamil Nadu, India.
4. Associate Professor, Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, India.
5. Associate Professor, Department of Microbiology, Christian Medical College, Vellore, Tamil Nadu, India.
Correspondence
Dr. Vaibhav Londhe,
Assistant Professor, Department of Obstetrics and Gynecology Unit 2, Christian Medical College and Hospital, Vellore,
Tamil Nadu-632004, India.
E-mail : vlondz@cmcvellore.ac.in
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.
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