A case of massive vulvar oedema due to septic pubic symphysitis complicating pregnancy.
We present a case of pyogenic pubic symphysitis presenting in the third trimester with progressive suprapubic pain, fever and massive vulvar oedema. This case demonstrates a rare, but important cause of sepsis in pregnancy, which, if not recognised and treated promptly, may result in significant morbidity.
University of Sheffield Medical School, Sheffield, UK.
Alice M
AM
Lawford
Katherine
K
Scott
Karin
K
Lust
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000032:analysis; D002443:Ceftriaxone / Q000627:therapeutic use; D004487:Edema / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005334:Fever / Q000209:etiology; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007231:Infant, Newborn; D008795:Metronidazole / Q000627:therapeutic use; D010146:Pain / Q000209:etiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000209:etiology*; D011263:Pregnancy Trimester, Third / Q000187:drug effects; D011631:Pubic Symphysis; D018805:Sepsis / Q000150:complications* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000150:complications* / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000187:drug effects; D016896:Treatment Outcome; D014845:Vulvar Diseases / Q000150:complications*
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D008795:Metronidazole; D002443:Ceftriaxone; D002097:C-Reactive Protein