4.5 Article

Ralstonia mannitolilytica sepsis after elective cesarean delivery: a case report

Journal

BMC PREGNANCY AND CHILDBIRTH
Volume 21, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12884-021-04214-5

Keywords

Ralstonia mannitolilytica; Elective cesarean delivery; sepsis; Septic shock; Case report

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In this case report, sepsis caused by Ralstonia mannitolilytica following elective cesarean delivery is described as a rare but serious infection, highlighting the importance of prompt diagnosis and appropriate treatment for a favorable outcome.
Background Ralstonia mannitolilytica, a newly emerging opportunistic pathogen worldwide, has been reported to be responsible for human pneumonia, septicemia and meningitis. This is the first report of a case of Ralstonia mannitolilytica sepsis after elective cesarean delivery. Case presentation A 25-year-old woman, gravida 1 para 0, was scheduled for an elective cesarean delivery at 39(+ 1) weeks of gestation. Sudden high fever and decreased blood pressure occurred a short time after the operation. Ralstonia mannitolilytica was identified in her blood culture 5 days after the operation. Based on the presence of sepsis and septic shock, massive fluid replacement, blood transfusion, vasoactive agents, imipenem/cilastatin and cefoperazone sulbactam sodium were applied. She was discharged after intensive care without complications. Conclusions Although the incidence of sepsis due to Ralstonia mannitolilytica is relatively low, once infection occurs in a puerpera, severe symptoms develop abruptly. Thus, prompt diagnosis and appropriate treatment are key to the cure.

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