Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis
Background. Postpartum endometritis is a fairly common postoperative complication occurring in up to 11 percent of all cesarean deliveries. Multidrug-resistant pathogenic organism is increasingly a factor in postoperative source of infection. Postpartum endomyometritis from a multidrug-resistant Esc...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/6715974 |
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| author | Joan Tymon-Rosario Meleen Chuang |
| author_facet | Joan Tymon-Rosario Meleen Chuang |
| author_sort | Joan Tymon-Rosario |
| collection | DOAJ |
| description | Background. Postpartum endometritis is a fairly common postoperative complication occurring in up to 11 percent of all cesarean deliveries. Multidrug-resistant pathogenic organism is increasingly a factor in postoperative source of infection. Postpartum endomyometritis from a multidrug-resistant Escherichia coli infection resulting in uterine is one such rare clinical circumstance where there is minimal information in the literature to guide its treatment and management. Case. A 29-year-old G1P0 who underwent a primary cesarean delivery for a failed induction of labor developed endomyometritis on post-op day one and was treated with multiple broad-spectrum antibiotic regimens. The source of infection was found to be multidrug-resistant Escherichia coli with uterine involvement and pelvic abscesses, requiring hysterectomy and drainage of pelvic abscesses. Severe uterine necrosis from this multidrug-resistant Escherichia coli infection was noted intraoperatively. After three weeks of antibiotic therapy, she had resolution of her infection. Conclusion. Multidrug-resistant Escherichia coli is a highly pathogenic organism that can cause endomyometritis, persistent bacteremia, and uterine necrosis, which necessitates definitive surgical management with hysterectomy to achieve resolution of the infection. |
| format | Article |
| id | doaj-art-5e396128ff644c1cbbb17573cc694a5a |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-5e396128ff644c1cbbb17573cc694a5a2025-02-03T06:12:35ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/67159746715974Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing EndomyometritisJoan Tymon-Rosario0Meleen Chuang1Montefiore Medical Center, Department of Obstetrics & Gynecology and Women’s Health, Bronx, NY, USAMontefiore Medical Center, Department of Obstetrics & Gynecology and Women’s Health, Bronx, NY, USABackground. Postpartum endometritis is a fairly common postoperative complication occurring in up to 11 percent of all cesarean deliveries. Multidrug-resistant pathogenic organism is increasingly a factor in postoperative source of infection. Postpartum endomyometritis from a multidrug-resistant Escherichia coli infection resulting in uterine is one such rare clinical circumstance where there is minimal information in the literature to guide its treatment and management. Case. A 29-year-old G1P0 who underwent a primary cesarean delivery for a failed induction of labor developed endomyometritis on post-op day one and was treated with multiple broad-spectrum antibiotic regimens. The source of infection was found to be multidrug-resistant Escherichia coli with uterine involvement and pelvic abscesses, requiring hysterectomy and drainage of pelvic abscesses. Severe uterine necrosis from this multidrug-resistant Escherichia coli infection was noted intraoperatively. After three weeks of antibiotic therapy, she had resolution of her infection. Conclusion. Multidrug-resistant Escherichia coli is a highly pathogenic organism that can cause endomyometritis, persistent bacteremia, and uterine necrosis, which necessitates definitive surgical management with hysterectomy to achieve resolution of the infection.http://dx.doi.org/10.1155/2019/6715974 |
| spellingShingle | Joan Tymon-Rosario Meleen Chuang Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis Case Reports in Obstetrics and Gynecology |
| title | Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis |
| title_full | Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis |
| title_fullStr | Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis |
| title_full_unstemmed | Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis |
| title_short | Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis |
| title_sort | multidrug resistant escherichia coli resulting in postpartum necrotizing endomyometritis |
| url | http://dx.doi.org/10.1155/2019/6715974 |
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