Postpartum fever in the presence of a fibroid: Sphingomonas paucimobilis sepsis associated with pyomyoma

BMC Infectious Diseases

Claudio M Mastroianni¹  Miriam Lichtner¹  Tiziana Tieghi¹  Raffaella Marocco¹  Angelo Vetica¹  Francesca Morelli¹  Valeria Belvisi¹  Francesco Maneschi²  Cosmo Del Borgo¹ 

[1] Infectious Disease Unit, Fondazione Eleonora Lorillard Spencer Cenci, Sapienza University, Corso Della Repubblica 79, 04100 Latina, Italy;Obstetrics and Gynecology Unit, SM Goretti Hospital, Latina, Italy

关键词: Sphingomonas paucimobilis septicaemia;    Fever;    Pyomyoma;   

Others  :  1145341
DOI  :  10.1186/1471-2334-13-574

 received in 2013-07-12, accepted in 2013-12-02,  发布年份 2013

【 摘 要 】

Background

Pyomyoma is a life-threatening complication of uterine leiomyoma. It may occur in post- menopausal women, during pregnancy and in the postpartum period. Fever may be the only manifestation during the early stages of the disease. We detail the first reported case of postpartum pyomyoma-related sepsis due to Sphingomonas paucimobilis, a Gram-negative bacillus that is gaining recognition as an important human pathogen.

Case presentation

A woman presented with an asymptomatic uterine fibroid and a two-week history of fever during the postpartum period. Suppurative uterine leiomyoma was diagnosed, and blood cultures grew Sphingomonas paucimobilis. The myoma was surgically removed from the uterus without hysterectomy. Intravenous antimicrobial therapy was given for fifteen days, and the patient was discharged from hospital in good condition.

Conclusion

Pyomyoma should be considered in broad differential diagnosis of postpartum fever. This case highlights a unique disease manifestation of S. paucimobilis, an emerging opportunistic pathogen with increasing significance in the nosocomial setting.

【 授权许可】

   
2013 Del Borgo et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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