Obstetrics and gynecology · 2008
Necrotizing cervical and uterine infection in the postpartum period caused by group A streptococcus.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Castagnola Danielle E, Hoffman Matthew K, Carlson John, Flynn Cynthia
Аннотация
BACKGROUND: Group A Streptococcus, once the most common causes of puerperal sepsis, is now a rare cause of postpartum fever.
CASE: A term 27-year-old woman presented after spontaneous membrane rupture. After an uncomplicated vaginal delivery, she became febrile without a source of infection. Despite two different antibiotic regimens, she remained febrile for 3 days. A computed tomography scan showed a wedge-shaped discontinuity in the anterior uterus suggesting uterine infection with early abscess formation. The patient underwent exploratory laparotomy and hysterectomy, with an uneventful postoperative course. Uterine pathology revealed a necrotizing infection within the uterus and cervix from Group A Streptococcus.
CONCLUSION: Puerperal sepsis from Group A Streptococcus can be a cause of necrotizing infection following delivery. Physicians should be aware of the resurgence of this potentially fatal pathogen.
CASE: A term 27-year-old woman presented after spontaneous membrane rupture. After an uncomplicated vaginal delivery, she became febrile without a source of infection. Despite two different antibiotic regimens, she remained febrile for 3 days. A computed tomography scan showed a wedge-shaped discontinuity in the anterior uterus suggesting uterine infection with early abscess formation. The patient underwent exploratory laparotomy and hysterectomy, with an uneventful postoperative course. Uterine pathology revealed a necrotizing infection within the uterus and cervix from Group A Streptococcus.
CONCLUSION: Puerperal sepsis from Group A Streptococcus can be a cause of necrotizing infection following delivery. Physicians should be aware of the resurgence of this potentially fatal pathogen.