Septic shock in pregnancy on the basis of an acute pyelonephritis

Objective: According to the World Health Organisation, sepsis is one of the four main causes of pregnancy-related mortality worldwide, together with hemorrhage, hypertensive disease and abortion. The main goal of this paper is an analysis of one case of septic shock in pregnancy. Design: A case report. Setting: Department of Obstetrics and Gynaecology of the First Faculty of Medicine and General Teaching Hospital, Prague. Methods and results: Authors would like to draw attention to the pitfalls of diagnosis and treatment of septic shock which developed in 25th week of pregnancy on the basis of pyelonephritis due to E. coli. Conclusions: Early diagnosis of sepsis and an interdisciplinary co-operation are the main prerequisities for successful treatment.