Infection of a traumatic pelvic hematoma with Mycoplasma hominis

D S Burke1, S Madoff

  • 1Department of Medicine, Massachusetts General Hospital, Boston, USA.

Insights

A previously healthy man developed a fever after pelvic trauma. Mycoplasma hominis infection in a retroperitoneal hematoma was successfully treated with surgical drainage.

Area of Science:

  • Infectious Diseases
  • Trauma Surgery
  • Microbiology

Background:

  • Pelvic trauma can lead to complications such as hematoma formation.
  • Retroperitoneal hematomas are potential sites for microbial infections.
  • Early identification and management of infections are crucial in trauma patients.

Observation:

  • A young man with extensive pelvic trauma developed a fever.
  • A retroperitoneal hematoma was identified as the source of infection.
  • Mycoplasma hominis was consistently isolated from the hematoma.

Findings:

  • Mycoplasma hominis was identified as the causative agent of the retroperitoneal hematoma infection.
  • High titers of mycoplasmacidal antibodies were detected in the patient's serum during convalescence.
  • Surgical drainage of the infected hematoma led to the resolution of the fever.

Implications:

  • Mycoplasma hominis should be considered in the differential diagnosis of infections following pelvic trauma.
  • Prompt surgical intervention and source control are vital for managing such infections.
  • This case highlights the importance of microbiological investigation in complex trauma cases.

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