Cervical conization complicated by sepsis with lung and liver abscesses.
BACKGROUND
Extrapelvic infections complicating cervical conization are exceedingly rare.


METHODS
Seven days after conization, a 44-year-old patient presented with fever and right upper quadrant pain. Pleural effusion and pulmonary and hepatic abscesses were detected. The pathology report of the conization showed microabscesses. Blood cultures grew Fusobacterium necrophorum. Intravenous antibiotics were administered. The pulmonary findings improved but did not completely resolve after drainage of pleural effusions. The patient refused further procedures and was discharged in good clinical condition and with oral antibiotics after 37 days.


CONCLUSIONS
Extrapelvic abscesses are rare complications of cervical conization. This is the first report in identifying F. necrophorum as a cause of this complication. Appropriate cultures, drainage of abscesses, and antibiotics are the mainstay of diagnosis and treatment.
Treszezamsky
Alejandro D
AD
Mount Sinai Hospital, New York, NY, USA. alejandro.treszezamsky@mssm.edu
Molina Boero
Maria Florencia
MF
Mehta
Isha
I
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002584:Cervix Uteri / Q000601:surgery*; D019092:Conization / Q000009:adverse effects*; D004322:Drainage; D005260:Female; D005674:Fusobacterium Infections / Q000175:diagnosis* / Q000382:microbiology; D005675:Fusobacterium necrophorum / Q000302:isolation & purification; D006801:Humans; D007275:Injections, Intravenous; D008100:Liver Abscess / Q000175:diagnosis* / Q000382:microbiology; D008169:Lung Abscess / Q000175:diagnosis* / Q000382:microbiology; D010996:Pleural Effusion / Q000601:surgery; D018805:Sepsis / Q000175:diagnosis* / Q000382:microbiology
D000900:Anti-Bacterial Agents