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Obstet Gynecol. 2011 Feb;117(2 Pt 2):466-7. doi: 10.1097/AOG.0b013e3181f73805.

Postpartum endometritis caused by herpes and cytomegaloviruses.

Author information

1
Department of Obstetrics and Gynecology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. magiraldoi@hotmail.com

Abstract

BACKGROUND:

Postpartum endometritis is usually a polymicrobial infection caused by organisms that are part of the normal vaginal flora. A pathologically confirmed case of postpartum endometritis secondary to herpes and cytomegalovirus in a human immunodeficiency virus (HIV)-positive patient is reported.

CASE:

A 29-year-old, HIV-positive woman presented 6 days postpartum with abdominal pain and foul-smelling vaginal discharge. Pelvic ultrasonography revealed retained products of conception. Dilation and evacuation was performed, and antibiotics were started. Despite adequate antibiotics and laparoscopic drainage of a pelvic collection, fevers and pain continued. A total abdominal hysterectomy, salpingectomy, and appendectomy were performed. Pathology reported herpes and cytomegalovirus infection of the uterus.

CONCLUSION:

Herpes simplex virus (HSV) and cytomegalovirus need to be considered as a potential cause of postpartum endometritis. When antibiotic therapy fails, an antiviral regimen should be considered.

PMID:
21252791
DOI:
10.1097/AOG.0b013e3181f73805
[Indexed for MEDLINE]

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