Yeungnam Univ J Med.  2018 Dec;35(2):248-252. 10.12701/yujm.2018.35.2.248.

Puerperal septic shock and necrotizing fasciitis caused by Staphylococcus caprae and Escherichia coli

  • 1Department of Obstetrics and Gynecology, Yeungnam University College of Medicine, Daegu, Korea.


Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.


Postpartum period; Puerperal infection; Septic shock

MeSH Terms

Cesarean Section
Escherichia coli*
Fasciitis, Necrotizing*
Pelvic Infection
Postpartum Period
Puerperal Infection
Shock, Septic*
Wound Infection


  • Fig. 1. Contrast-enhanced pelvic computed tomography images. (A) A negative pressure wound therapy dressing was placed after the cesarean scar was opened (arrow). (B) An axial image showing severe swelling and inflammatory infiltrates in the vulva (arrow).


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