Pyometra due to Pseudomonas aeruginosa

McLeod, Nathan; Lastinger, Allison

doi:10.1016/j.idcr.2019.e00554

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…Since pyometra more commonly affects older patients with impaired activities of daily living, it is often mistaken for a urinary tract infection and can be easily overlooked. Furthermore, half of these cases have been reported to be asymptomatic [ 8 ]. In the present case, since the source of fever could not be identified on initial examination and there was no pyuria, a CT scan was performed on the same day, which allowed for an early diagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…The most common causative organisms are aerobic bacteria, such as Streptococcus spp., Escherichia coli, and Enterococcus spp., and anaerobic bacteria, such as Bacteroides spp [ 9 ]. Pseudomonas aeruginosa and Mycobacterium tuberculosis have also been reported, indicating diversity in the causative organisms for pyometra [ 8 ]. To the best of our knowledge, this is the first case of pyometra by Achromobacter xylosoxidans was first isolated in Japan in 1971 from an ear discharge sample from a patient with chronic otitis media [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Pyometra Caused by Achromobacter xylosoxidans and γ-Streptococcus in an Elderly Frail Woman

Mukai¹,

Isono²,

Kondo³

et al. 2022

Cureus

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Pyometra is an easily overlooked disease with nonspecific symptoms; however, a delayed diagnosis can lead to severe complications. An 80-year-old frail woman presented to our hospital with a chief complaint of persistent fever for 10 days. Her blood tests showed an elevated inflammatory response, and computed tomography showed a 10-cm cystic lesion in the pelvic floor compressing the bladder. A catheter was inserted from the vagina into the uterine cavity, resulting in pus drainage and pyometra diagnosis. A pus culture was subsequently performed, which detected Achromobacter xylosoxidans, a common cause of respiratory tract infections in cystic fibrosis and bloodstream infections, andγ-streptococcus. To the best of our knowledge, this is the first report of pyometra caused by Achromobacter xylosoxidans. The patient was treated with drainage and piperacillin-tazobactam administration. Pyometra is especially prevalent in older women with impaired activities of daily living and dementia. Although fever, lower abdominal pain, and increased discharge may occur, symptoms are often nonspecific, and half of such cases are asymptomatic. Furthermore, delayed diagnosis can lead to perforation of the uterus and consequent pan-peritonitis. Thus, the diagnosis of pyometra should be considered in older women presenting with unknown fever, and imaging studies and gynecological consultation should be requested promptly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Case of Pyometra Caused by Achromobacter xylosoxidans and γ-Streptococcus in an Elderly Frail Woman

Mukai¹,

Isono²,

Kondo³

et al. 2022

Cureus

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“…Pyometra describes the accumulation of purulent fluid in the uterus, and it is relatively rare; hence, we clinicians do not often consider it in the differential diagnosis of a febrile patient. The most common cause of pyometra comprises stenosis of the cervix caused by events such as malignancy, radiation-induced cervicitis and atrophic cervicitis ( 1 ). Thus, diverticulitis is one of the rarest causes, and there are only a few reported cases so far.…”

Section: Introductionmentioning

confidence: 99%

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

et al. 2023

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Pyometra is a rare disease in which pus accumulates in the uterus and is typically caused by stenosis of the cervix. Only a few case reports have indicated that diverticular disease causes pyometra. We herein report an 83-year-old woman presented to our hospital with a fever, loss of appetite, general fatigue and back pain. After some inspections, she was diagnosed with pyometra and lumbar pyogenic spondylitis secondary to diverticulitis of the sigmoid colon. We performed transvaginal drainage and continued antibiotic administration for about three months. The pyometra and pyogenic spondylitis successfully resolved, and she did not experience any recurrence.

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“…8 However, there are also several case reports regarding the etiology of other bacteria and it is also known that in 8-17% of cases sterile culture results are encountered. 9,10 Pyometra occurs due to obstruction in the drainage channels of the uterine cavity. Cervical stenosis most often involves the internal os.…”

Section: Introductionmentioning

confidence: 99%

“…The resulting pus will accumulate in the uterus and form pyometra. 9,10 It is known that the length of use of IUD is related with the risk of infection. An infection that occurs due to IUD causes the occurence of endometritis.…”

Section: Introductionmentioning

confidence: 99%

Pyometra

Yolanda

2019

AOJ

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Background : Pyometra is a rare condition with an incidence ranging from 0.01 - 0.5% among all gynecological patients.2 Pyometra is known to be rare in the general population and is more common in elderly women.3 In postmenopausal elderly patients, the incidence increases to 13.6% .4. The classic triometry of pyometra is postmenopausal bleeding, purulent vaginal discharge, and lower abdominal pain,Objective : Report the handling of pyometra casesCase Report : reportedly a 73-year-old woman came to the ER of RSUP Dr. M. Djamil on December 10, 2018 at 14.30, a referral from BMC Padang hospital with a diagnosis of abdominal pain susp. intraabdominal tumor. Ultrasound examination showed the uterus in normal size which was not in accordance with the picture of pyometra. Laparotomy with adhesionolysis and aspiration of pus in the patient was performed. This is appropriate for evacuating the pyometra mass in this case.Conclusion : In this case, to overcome the infection and evacuate the masses. The recommended antibiotics are broad-spectrum antibiotics, such as penicillin, piperacillin tazobactam, imipenem, meropenem, metronidazole, and vancomycin. Mass evacuation can be done by laparotomy or curettage accompanied by cervical dilatation.Keywords: Pyometra, pascamenoupose

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Pyometra due to Pseudomonas aeruginosa

Cited by 4 publications

References 10 publications

A Case of Pyometra Caused by Achromobacter xylosoxidans and γ-Streptococcus in an Elderly Frail Woman

A Case of Pyometra Caused by Achromobacter xylosoxidans and γ-Streptococcus in an Elderly Frail Woman

Pyometra and Pyogenic Spondylitis with Suspected Involvement of Diverticulitis of the Sigmoid Colon

Pyometra

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