Snap Shot A 24-year-old G3P3 female presents three days following Cesarean section with fever. Physical examination reveals uterine tenderness and laboratory results show elevated white blood cell count. Introduction Infection of the uterus post-partum or post-abortion Can be acute or chronic acute most commonly of bacterial origin Group B strep (usual cause) other causes include S. aureus, B. fragilis, and C. trachomatis chronic most commonly of bacterial origin due to retained placenta or IUD N. gonorrhoeae A. israelii (IUD) treat with penicillin Presentation Symptoms vaginal discharge abdominal pain fever Evaluation Histology plasma cells Treatment Pharmacologic cefoxitin ampilicillin-sulbactam ticarcillin-clavulanate