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[Hematometra & Listeria monocytogenes]
E Gómez Arzapalo1, A Pérez Mendizábal, I Herrera Avalos
1Biología de la reproducción, Clínica Florida Satélite.
Abstract:
The hematometra is a nosological entity that may not always be attributed to an embryonic defect of the paramesonefros; cervical-vaginal infections such as etiological possibilities due to Listeria monocytogenes (Lm), cervix malignant neoplasias, iatrogenias due to endometrial ablation with Lasser, traumatic bloody uterine curetage and because of cervical cryocoagulation or electrocoagulation are also mentioned. The case to be reported is from a woman in reproductive stage, who is 32 years old, and had menarca at the age of 13, starting her sexual life at 31, not using any method to control her fertility. When having an eight-week amenorrhea after 8 months of marriage, she visited the doctor for assumed pregnancy, within the prenatal analysis a pelvic echographic study was requested, finding out images that we concluded as hematometra, having been drained and demonstrated the presence of LM by anti-Lm antibodies, being administered Azitromicina and Espiramicina.
Insights
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.
