Severe Sepsis and Acute Myocardial Dysfunction in an Adolescent with Chlamydia Trachomatis Pelvic Inflammatory Disease: A Case Report

Ashley M. Morgan, R. Claire Roden, Steven C. Matson, Grant M. Wallace, Hannah L.H. Lange, Andrea E. Bonny

Research output: Contribution to journalArticle

Abstract

Background: Although generally asymptomatic, severe Chlamydia trachomatis (C. trachomatis) infections have been documented. C. trachomatis has been associated with myocarditis as well as sepsis. Case: A 19-year-old girl with type 1 diabetes mellitus developed sudden-onset mental status change and shock after resolution of diabetic ketoacidosis. Abdominal and pelvic imaging showed uterine and adnexal inflammation, and pelvic examination confirmed a diagnosis of pelvic inflammatory disease. The patient was intubated, required vasopressor support, and developed severe biventricular myocardial dysfunction. Infectious myocarditis workup was negative. Nucleic acid amplification testing from vaginal discharge was positive for C. trachomatis and Trichomonas vaginalis and negative for Neisseria gonorrhoeae. Summary and Conclusion: C. trachomatis should be considered in the workup of septic shock, particularly in populations at high risk for sexually transmitted infections.

Original languageEnglish (US)
Pages (from-to)143-145
Number of pages3
JournalJournal of Pediatric and Adolescent Gynecology
Volume31
Issue number2
DOIs
Publication statusPublished - Apr 2018

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All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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