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Published on: December 4, 2020
Infection of a traumatic pelvic hematoma with Mycoplasma hominis
Abstract:
Fever developed in a previously healthy young man who had sustained extensive pelvic trauma. Mycoplasma hominis was isolated in pure culture from six of seven specimens taken from a retroperitoneal hematoma over a one-week period, and mycoplasmacidal antibodies were present in high titer in the convalescent-phase serum. The fever abated after thorough surgical drainage of the infected hematoma.
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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