Shimada M, Saeki Y, Matsumoto S, Uemura Y, Kotani T, Ohtaki S, Sakata M, Koike H, Kawano J, Sasaki T
Central Laboratory for Clinical Investigation, Miyazaki Medical College Hospital.
Kansenshogaku Zasshi. 1991 May;65(5):612-5. doi: 10.11150/kansenshogakuzasshi1970.65.612.
A 26-year-old housewife was admitted to our hospital with a history of high fever after previous cesarean delivery. She had premature rupture of the membrane on the 41st week of pregnancy and the amniotic fluid was found to be cloudy on the fourth day after rupture. Therefore, cesarean delivery was performed. On the first day of operation, her body temperature increased up to 38 degrees C in spite of the treatment with Latamoxef (LMOX), 3 g/day. A sample of intrauterine material yielded M. hominis in pure culture. After administration of Minocycline (MINO) with antimycoplasmal activity, the clinical symptoms improved by the 11th day of operation. Sera obtained after the infection showed antibodies to M. hominis in ELISA study. These results suggested that the cause of this postpartum fever was M. hominis infection.
一名26岁的家庭主妇因既往剖宫产术后高热病史入住我院。她在妊娠41周时胎膜早破，破膜后第4天羊水被发现浑浊。因此，进行了剖宫产手术。手术第一天，尽管每天使用3克拉氧头孢（LMOX）进行治疗，她的体温仍升至38摄氏度。一份宫腔内物质样本经纯培养后检出人型支原体。在给予具有抗支原体活性的米诺环素（MINO）后，临床症状在手术第11天有所改善。感染后采集的血清在ELISA研究中显示出人型支原体抗体。这些结果表明，此次产后发热的原因是人型支原体感染。
