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 work | CBC w/differential | CMP | Coagulation profile (PT/INR, aPTT, fibrinogen) | Lactate | Arterial blood gas |
| Imaging | Chest X-ray | Transvaginal ultrasound | CT abdomen and pelvis with contrast or MRI |
| Cultures | Blood cultures | Cervical cultures | Vaginal discharge cultures (including cultures for trichomonas, gonorrhea, chlamydia, and candida) | Cultures of endometrial biopsy or curettage specimen | Urine culture |
| Other tests | Urinalysis |
| Consultation | Gynecology (including family planning subspecialist if available) | Infectious disease | Hospital infectious control services | Surgery (general and other subspecialists) | Critical care |
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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.
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