Fatal Clostridium perfringens and Escherichia coli sepsis following urea-instillation abortion.

@article{Jasnosz1993FatalCP,
  title={Fatal Clostridium perfringens and Escherichia coli sepsis following urea-instillation abortion.},
  author={Katherine M. Jasnosz and Abdulrezzak M Shakir and Joshua A. Perper},
  journal={The American journal of forensic medicine and pathology},
  year={1993},
  volume={14 2},
  pages={
          151-4
        }
}
Intraamniotic instillation of urea is a common mode of legal second-trimester pregnancy termination. Associated mortality rarely occurs and is most commonly due to amniotic fluid embolism, pulmonary thromboembolism, infection, hemorrhage, and disseminated intravascular coagulation (DIC). We present the case of an 18-year-old gravida 2, para 1 white woman at 18 weeks' gestation who underwent intraamniotic instillation of hyperosmolar urea and intracervical insertion of laminaria tents; 19 h… CONTINUE READING