Case Report

Group A Streptococcus Septic Shock after Surgical Abortion: A Case Report and Review of the Literature

Table 1

Diagnostic work-up for postabortion sepsis.

Blood workCBC w/differential
CMP
Coagulation profile (PT/INR, aPTT, fibrinogen)
Lactate
Arterial blood gas

ImagingChest X-ray
Transvaginal ultrasound
CT abdomen and pelvis with contrast or MRI

CulturesBlood cultures
Cervical cultures
Vaginal discharge cultures (including cultures for trichomonas, gonorrhea, chlamydia, and candida)
Cultures of endometrial biopsy or curettage specimen
Urine culture

Other testsUrinalysis

ConsultationGynecology (including family planning subspecialist if available)
Infectious disease
Hospital infectious control services
Surgery (general and other subspecialists)
Critical care

CBC: complete blood count; CMP: comprehensive metabolic panel; PT/INR: prothrombin time/international normalized ratio; aPTT: activated partial thromboplastin time; CT: computed tomography; MRI: magnetic resonance imaging.