An elderly woman with Prevotella bacteraemia secondary to pyometra

Guerrero, P. Pérez; Zamorano, M M; Trujillo, Ignacio Garcia; Gonzalez, Jose Antonio Giron

doi:10.1136/bcr.09.2008.0897

Cited by 2 publications

(3 citation statements)

References 7 publications

(5 reference statements)

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“…Guerrero et al (2009) reported a case of an elderly woman with pyometra; she had noted a mass in her abdomen 20 years previously, but had at that point decided against any medical assessment. She was referred to a hospital with a painful mass and a simple abdominal x-ray showed a lower abdominal mass with multiple calcifications (Guerrero et al 2009). We suggest that these radiographic opacities might have been due to the open condition of the cervix and the chronic process of the disease.…”

Section: Discussionmentioning

confidence: 99%

“…Munson et al described a case of a tiger with severe endometrial mineralisation revealed by radiographs (Munson et al 2002). Guerrero et al (2009) reported a case of an elderly woman with pyometra; she had noted a mass in her abdomen 20 years previously, but had at that point decided against any medical assessment. She was referred to a hospital with a painful mass and a simple abdominal x-ray showed a lower abdominal mass with multiple calcifications (Guerrero et al 2009).…”

Section: Discussionmentioning

confidence: 99%

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A rare radiographic appearance of a calcified uterus in a queen with pyometra: a case report

Hayati¹,

Ahrari-Khafi²,

Hassankhani³

et al. 2016

Vet. Med. - Czech

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This report describes the clinical presentation, diagnosis and treatment of a queen with open pyometra. Lethargy, anorexia and previous treatment failure were the main reasons resulting in referral for diagnostic evaluation. The history, haematological and biochemical profiles and abdominal radiographs revealed open pyometra. Following ovariohysterectomy and antibiotic therapy there was total resolution of clinical signs. Histopathology of the uterus showed severe calcification. The unique part of this report was the rare appearance of multiple opacities in the radiographs. To the authors' knowledge, this is the first report of radiographic opacities in a domestic short-haired queen with open pyometra.Keywords: queen; pyometra; radiology; uterus; calcification Pyometra is the most frequent and important endometrial disorder in intact, sexually mature queens and is characterised by uterine infection by ascending vaginal bacteria as a consequence of progesterone stimulation of the endometrium. It may involve diffuse or segmental enlargement of the uterus. Histological lesions range from simple cystic endometrial hyperplasia to endometrial atrophy (Nak et al. 2009).Pyometra is classified as open-cervix or closedcervix based on cervical patency for drainage of purulent uterine fluid. Although medical management may be attempted, surgical intervention to prevent uterine rupture and septicaemia is the treatment of choice for any open-cervix pyometra where the bitch is systemically ill, or any case of closed-cervix pyometra (Adamovich-Rippe et al. 2013).In this paper, we describe an unusual feature of open pyometra in a queen, and its radiographic and histopathological change. Case descriptionA 4.3 kg, approximately six-year-old sexually intact female Domestic short-haired cat was presented to the Small Animal Hospital, University of Tehran, Tehran, Iran because of a history of anorexia and lethargy. The cat had lived indoors for approximately five years and had not been bred during this period of time. Two weeks prior to presentation she had the same clinical signs (lethargy and anorexia) and the owner referred her to a private pet clinic. The veterinarian prescribed antibiotics and intravenous lactated Ringer's solution, which initially resulted in improvement before a subsequent return of the clinical symptoms.On initial physical examination, the cat was mildly dehydrated and lethargic. Rectal temperature was normal (38.1 °C) and no abnormalities in mucous membrane colour were noted. Heart and respiratory sounds and rates were normal. Vaginal discharge was not observed and abdominal palpation revealed no abnormal organs. Polyuria and polydipsia were noted by the owner.Diagnostic procedures included a complete blood count (CBC), serum biochemical profile and abdominal radiographs. The CBC showed mild nonregenerative normocytic normochromic anaemia, leucocytosis with neutrophilia and the presence of immature WBCs in a peripheral blood sample.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A rare radiographic appearance of a calcified uterus in a queen with pyometra: a case report

Hayati¹,

Ahrari-Khafi²,

Hassankhani³

et al. 2016

Vet. Med. - Czech

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“…Siempre con cobertura antibiótica de amplio espectro y posterior seguimiento para evitar recurrencias. La rotura de la piómetra debe ser tenida en cuenta en caso de mujeres ancianas con abdomen agudo 1,3,10 . Sería adecuado analizar series de casos prospectivamente 8 .…”

Section: Conclusiónunclassified

Presentación atípica de la piómetra en la mujer anciana

Noval

Alarcón

Merlo

2017

Clínica e Investigación en Ginecología y Obstetricia

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An elderly woman with Prevotella bacteraemia secondary to pyometra

Cited by 2 publications

References 7 publications

A rare radiographic appearance of a calcified uterus in a queen with pyometra: a case report

A rare radiographic appearance of a calcified uterus in a queen with pyometra: a case report

Presentación atípica de la piómetra en la mujer anciana

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