A bacteriologic and clinical study of pyometra

Carter, Bayard; Jones, Claudius P.; Ross, Robert A.; Thomas, Walter L.

doi:10.1016/0002-9378(51)90170-6

Cited by 22 publications

(4 citation statements)

References 2 publications

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“…Pyometra is caused by a natural drainage impairment within the cervix, often attributed to a structural process (e.g., cervical stenosis), malignant pathology or secondary to radiotherapy [1,3,7]. Additionally, urogenital anomalies, namely atrophic cervicitis, have reportedly contributed to the disease's manifestation [2,6,8].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Idiopathic Pyometra in a Premenopausal Patient

et al. 2020

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Pyometra is a very uncommon disease principally occurring in postmenopausal women. It is characterized by the accumulation of purulent material within the uterine cavity. This paper presents the clinical history of a 35-year-old premenopausal woman with otherwise normal menstruation who developed heavy menstruation and was diagnosed with a benign pyometra of indeterminate etiology in March 2017. The patient underwent repeated ultrasound-guided drainage, dilation and curettage, and antibiotic therapy. Biopsies of the pelvic sidewall revealed endometriosis in June 2017. The heavy menstruation and suppurative fluid in the uterus of the patient persisted in which intramuscular leuprolide acetate was prescribed to address the endometriosis and heavy menstrual bleeding. Ultimately, the leuprolide acetate effectively resolved the patient's bleeding and pyometra. The medication was concluded after 12 months of supervision and the patient is currently symptom free. Pyometra is an unusual condition rarely identified in premenopausal women. Drainage and antibiotic therapy are routinely employed; however, one may consider gonadotropin-releasing hormone agonist medication to potentially confer a beneficial patient outcome in rare cases where endometriosis and bleeding are intractable.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Idiopathic Pyometra in a Premenopausal Patient

et al. 2020

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“…Pyometra associated with primary or secondary uterine malignancies is well recognized (Carter et al, 1951), but subsequent spontaneous perforation has previously been described in only 11 patients. Cervical occlusion was present in all cases; in 9 it was secondary to tumour with perforation at a remote site (Bostofte & Legarth, 1981: Henriksen, 1956, and in two it was due to benign cervical stenosis (Loup, 1973;Crisp & Clain, 1949).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous perforation of a pyometra presenting as generalized peritonitis

Hosking

1985

Postgraduate Medical Journal

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“…Carter et al [3] isolated anae robic bacteria from 101 of 133 patients with pyometra. Endometrial cul tures taken from the 2 cases of pyometra included in our material, yielded anaerobes in both patients.…”

Section: Resultsmentioning

confidence: 99%

Bacteriologic Aspects of Pelvic Inflammatory Disease in Gynecologic Patients

Creatsas¹,

Pavlatos²,

Koumantakis³

et al. 1982

Gynecol Obstet Invest

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The bacteriology of acute pelvic inflammatory disease (PID) was studied in 65 women. Endometrial, endocervical and vaginal cuff cultures were taken. In some cases blood cultures and cultures from the cul-de-sac or pelvic abscess were also obtained. Mixed organisms (aerobes and anaerobes) were the most common isolates from the endometrial, endocervical or vaginal cuff cultures, present in 40%. Neiseriagonorrhoeae was isolated in 8 (12.30%) endocervical specimens. Anaerobes were the most common bacteria recovered from cul-de-sac aspirates, pelvic abscesses and blood cultures. The combination of gentamicin, penicillin and metronidazole was the most common antibiotic scheme used. However, other antibiotics as cefoxitin and clindamycin were also used according to the sensitivity test. These data support the polymicrobial etiology of the disease and suggest: (1) the high incidence of anaerobic or mixed infections, and (2) the relatively low incidence of gonococcus in the studied cases.

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A bacteriologic and clinical study of pyometra

Cited by 22 publications

References 2 publications

A Rare Case of Idiopathic Pyometra in a Premenopausal Patient

A Rare Case of Idiopathic Pyometra in a Premenopausal Patient

Spontaneous perforation of a pyometra presenting as generalized peritonitis

Bacteriologic Aspects of Pelvic Inflammatory Disease in Gynecologic Patients

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