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[Hematometra & Listeria monocytogenes]
E Gómez Arzapalo1, A Pérez Mendizábal, I Herrera Avalos
1Biología de la reproducción, Clínica Florida Satélite.
Ginecologia Y Obstetricia De Mexico
|August 26, 2004
Summary
Hematometra, a uterine condition, can stem from various causes beyond embryonic defects. This case highlights Listeria monocytogenes infection as a potential trigger in a reproductive-age woman.
Area of Science:
- Gynecology
- Infectious Diseases
- Obstetrics
Background:
- Hematometra, characterized by blood accumulation in the uterus, has diverse etiologies.
- While often linked to embryonic defects, infections, neoplasms, and iatrogenic causes are also implicated.
- Listeria monocytogenes (Lm) is recognized as a potential infectious agent contributing to hematometra.
Observation:
- A 32-year-old reproductive-stage woman presented with amenorrhea, suspected pregnancy.
- Pelvic ultrasonography revealed findings consistent with hematometra.
- The patient had recently initiated sexual activity and was not using contraception.
Findings:
- Drained hematometra confirmed the presence of Listeria monocytogenes (Lm) via anti-Lm antibodies.
- The patient was treated with Azithromycin and Spiramycin.
- This case underscores Lm as an etiological possibility for hematometra.
Implications:
- Highlights the importance of considering infectious causes, particularly Listeria monocytogenes, in hematometra diagnosis.
- Suggests prompt diagnosis and targeted antibiotic therapy are crucial for managing hematometra.
- Emphasizes the need for comprehensive etiological investigation in reproductive-age women presenting with hematometra.