On July 6, 2018, the United States (U.S.) and Orange Regional Medical Center (ORMC) paid $1,075,000 to settle the claim of a woman who contracted streptococcus pyogenes (Strep A) and went into septic shock two days after she underwent an ambulatory tubal ligation procedure at a federally funded medical clinic in Middletown, New York. The plaintiff claimed that the defendant's failed to:1) obtain her informed consent to the outpatient procedure and advise of the risks of a deadly infection; 2) give her proper advice in response to her post procedure complaints of fever and pain made the day before her condition was diagnosed.

Following an exploratory laparotomy, the patient went into cardiac arrest and was diagnosed with Group A Strep Toxic Shock Syndrome leading to total paralysis and "locked in syndrome" unable to speak though fully aware of her plight.

Plaintiff's theory of the case was that her ovaries became ischemic and infarcted due to the improper placement of clips during the tubal ligation. The U.S. paid $1,000,000 and ORMC contributed $75,000 toward the settlement. The case was litigated in Manhattan at the United States District Court for the Southern District of New York. Mejia v United States of America, 2018 WL 3479094