title: [A case of Mycoplasma hominis infection after bladder injury during cesarean section].
abstract: A 21-year-old female patient underwent emergency cesarean section and a postoperative hematoma occurred at the site of the uterine incision. The patient underwent laparotomy for hemostasis. An 3 cm perforation at the posterior wall of the bladder was identified. The bladder was repaired in two layers with an absorbable suture. Three days later she developed a fever of over 38 degrees C. Despite therapy with several antimicrobial agents, her fever persisted and the wound was opened. Computed tomography scan revealed an abscess at the site where the hematoma had formed. We present a case of severe wound infection that was caused by Mycoplasma hominis infection after cesarean section. Bladder perforation associated with cesarean section is uncommon. Mycoplasma hominis should be considered as a causative organism if an antimicrobial resistant infection occurs at the surgical site after a cesarean section.
authors.affiliation: Department of Urology, Kitano Hospital, The Tazukekofukai Medical Research Institute.
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Yagihashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Kato
authors.forename: Kanji
authors.initials: K
authors.lastname: Nagahama
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kanamaru
authors.forename: Hiromi
authors.initials: H
authors.lastname: Nishizawa
authors.forename: Souhei
authors.initials: S
authors.lastname: Ueda
authors.forename: Tadayoshi
authors.initials: T
authors.lastname: Nagano
authors.forename: Gouichi
authors.initials: G
authors.lastname: Iito
mesh_terms: D000038:Abscess / Q000209:etiology*; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D009175:Mycoplasma Infections / Q000209:etiology*; D019535:Mycoplasma hominis; D011183:Postoperative Complications; D011247:Pregnancy; D001743:Urinary Bladder / Q000293:injuries*; D001745:Urinary Bladder Diseases / Q000209:etiology*