Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis
Joint Authors
Tymon-Rosario, Joan
Chuang, Meleen
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Tymon-Rosario, Joan& Chuang, Meleen. 2019. Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis. Case Reports in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141713
Modern Language Association (MLA)
Tymon-Rosario, Joan& Chuang, Meleen. Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis. Case Reports in Obstetrics and Gynecology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1141713
American Medical Association (AMA)
Tymon-Rosario, Joan& Chuang, Meleen. Multidrug-Resistant Escherichia coli Resulting in Postpartum Necrotizing Endomyometritis. Case Reports in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141713
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141713