Pyometra after ovum retrieval for in vitro fertilization resulting in hysterectomy.
OBJECTIVE
To report infection and pyometra after ovum retrieval for IVF.


METHODS
Case report.


METHODS
Community hospital.


METHODS
A 43-year-old woman with a recent history of ovum retrieval presented with high fever, chills, and no gynecologic symptoms. The patient was admitted to the medical intensive care unit due to septicemia. After an extensive workup for fever, the patient was diagnosed with pyometra, and biopsy of the endometrial cavity revealed vancomycin-resistant enterococci.


METHODS
The patient was treated with antibiotics and then discharged home. Two weeks later she presented with unrelenting fever and abdominal pain and underwent hysterectomy.


METHODS
Unrelenting infection despite antibiotic treatment resulting in hysterectomy, which showed autolyzed endometrium, subserosal and intramural abscess.


RESULTS
Infection resolved after hysterectomy.


CONCLUSIONS
Pyometra should be considered in the differential diagnosis of fever after ovum retrieval as it may result in serious consequences and can be life threatening.
Nikkhah-Abyaneh
Zohreh
Z
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York 11219, USA.
Khulpateea
Neekianand
N
Aslam
Muhammad Faisal
MF
D015746:Abdominal Pain / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016983:Enterococcus / Q000302:isolation & purification; D005260:Female; D005307:Fertilization in Vitro; D005334:Fever / Q000382:microbiology; D006801:Humans; D007044:Hysterectomy; D054315:Oocyte Retrieval / Q000009:adverse effects*; D055112:Pyometra / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D020713:Vancomycin Resistance
D000900:Anti-Bacterial Agents