Abstract

Septic abortion is a common cause of maternal death that demonstrates many varied clinical conditions. It can be mistaken for septic shock due to urinary tract infection or meningitis due to respiratory tract infection, with neglect of other possible gynecological causes. Herein, we reported a 35-year-old pregnant woman with unclear consciousness, high fever, and neck stiffness; her preliminary diagnosis was meningitis. We consulted with gynecologist and then found out her major etiology was septic abortion. This patient was discharged without any morbidity. We suggest that gynecological causes should be included in the differential diagnosis in young females with fever and shock.

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