Severe Parametritis after Vaginal Delivery with Delayed Response to Broad Spectrum Antibiotics: A Case Report
Novelty in Biomedicine,
Vol. 9 No. 3 (2021),
13 August 2021
AbstractBackground: Postpartum infections, also known as puerperal fever, are bacterial infections of the female reproductive tract following childbirth or miscarriage. Symptoms usually include a fever greater than 38.0°C (100.4°F), chills, lower abdominal pain, and possibly bad-smelling vaginal discharge. It usually occurs after the first 24 hours and within the first ten days following delivery, but life-threatening infection may occur within hours of delivery.
Cases Report: We reported a case of severe parametritis in the first 24 hours of delivery. Cesarean section is a risk factor for postpartum infections, and response to treatment is lower than vaginal delivery. Our case was a severe pelvic infection after vaginal delivery, and its risk factor was prolonged rupture of the membrane. Therefore, rapid diagnosis and treatment are necessary to prevent abscess formation and sepsis.
Conclusion: In this case, rapid treatment with broad-spectrum antibiotics prevented abscess formation, sepsis, and hysterectomy.
- Postpartum infections, Puerperal fever, Severe parametritis, Postpartum endometritis
How to Cite
Eschenbach DA, Wager GP: puerperal infection. Clin Obstet Gynecol. 1980;23:1003.
David A, Eschenbach MD. Serious postpartum infections. The Global Library of Women's Medicine.
Blanco JD, Gibbs RS, Castaneda YS et al: Correlation of quantitive fluid cultures with endometritis after Caesarean section. Am J Obstet Gynecol. 1982;143:897.
Rosene K, Eschenbach DA, Tompkins L et al: Poly microbial early postpartum endometritis with facultatively anaerobic bacteria, genital mycoplasma and chlamydia trachomatis. J Infect Dis. 1986;153:1028.
Gibbs RS, Jones PM, Wilder CJ: Antibiotic therapy of endometritis following Caesarean section: Treatment successes and failures. Obstet Gynecol. 1987;52:31.
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