Mourton Susannah, Rich William
Department of Obstetrics and Gynecology, University of California San Francisco-Fresno Medical Education Program, Fresno, USA.
J Reprod Med. 2006 Aug;51(8):665-8.
Endometrial biopsy is a common office procedure and is relatively free of serious complications.
A 43-year-old woman presented with fevers, vaginal bleeding and abdominal pain after an office endometrial biopsy. She was found to have sepsis, shock abdominal tenderness and an erythematous rash. She was managed with intravenous antibiotics and fluid resuscitation. Once stable, she underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy, with findings of acute pelvic infection. Blood cultures grew group A beta-hemolytic Streptococcus.
Since the 1980s, an increase in severe infections caused by Streptococcus pyogenes led to the definition of group A streptococcal toxic shock syndrome. This appears to be the first report of streptococcal toxic shock syndrome occurring after an endometrial biopsy.
子宫内膜活检是一种常见的门诊操作，相对较少发生严重并发症。
一名43岁女性在门诊进行子宫内膜活检后出现发热、阴道出血和腹痛。她被诊断为败血症、休克、腹部压痛和红斑皮疹。她接受了静脉抗生素治疗和液体复苏。病情稳定后，她接受了全腹子宫切除术和双侧输卵管卵巢切除术，结果发现有急性盆腔感染。血培养结果显示为A组β溶血性链球菌。
自20世纪80年代以来，由化脓性链球菌引起的严重感染有所增加，从而导致了A组链球菌中毒性休克综合征的定义。这似乎是第一例子宫内膜活检后发生链球菌中毒性休克综合征的报告。
