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Updated: Jun 15 2018


  • 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
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