{
    "abstract": "Clostridium perfringens is responsible for 5% of septic abortions. Emergent hysterectomy is often required for patient survival. This can be devastating to patients desiring future fertility. We report a 15-year-old female patient at 17 weeks and 6 days of gestation with a diagnosis of sepsis on admission. She was managed with broad-spectrum antibiotics followed by immediate evacuation of the retained placenta. Blood and placental cultures confirmed clostridial species. Successful conservative management allowed for a term pregnancy 2 years later, resulting in a healthy newborn. Few reports describe effective conservative management resulting in uterine sparing and good subsequent pregnancy outcomes.",
    "authors": [
        {
            "affiliation": "Department of Family and Community Medicine, University of Illinois-Chicago, Rockford, IL.",
            "firstname": "Jesseca R A",
            "initials": "JRA",
            "lastname": "Pirkle"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, University of Illinois-Chicago, Rockford, IL. Electronic address: alkhabaz@uic.edu.",
            "firstname": "Antoun Al",
            "initials": "AA",
            "lastname": "Khabbaz"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024. Published by Elsevier Inc.",
    "doi": "10.1016/j.jpag.2024.08.002",
    "journal": "Journal of pediatric and adolescent gynecology",
    "keywords": [
        "Clostridium perfringens",
        "Conservative management",
        "Septic abortion"
    ],
    "methods": null,
    "publication_date": "2024-08-16",
    "pubmed_id": "39147122",
    "results": null,
    "title": "Successful Conservative Management of Second Trimester Spontaneous Abortion Complicated by Clostridial Sepsis.",
    "xml": "<Element 'PubmedArticle' at 0x788500cb33d0>"
}