Greenspoon J S, Ault M, James B A, Kaplan L
Department of General Internal Medicine, Cedars-Sinai Medical Center, Los Angeles, California 90048.
Obstet Gynecol Surv. 1990 Sep;45(9):563-9. doi: 10.1097/00006254-199009000-00001.
case of fatal septic shock due to pyomyoma (suppurative leiomyoma of the uterus) is reported. This unusual cause of sepsis and polymicrobial bacteremia should be rapidly identified because surgical therapy is essential for cure. Nine additional cases reported since 1945 are reviewed. Pyomyoma develops in association with either recent pregnancy or in postmenopausal patients who frequently have underlying vascular disease. The triad of: 1) bacteremia or sepsis; 2) leiomyoma uteri; and 3) no other apparent source of infection should suggest the diagnosis of pyomyoma.
报告了一例因脓性子宫肌瘤（子宫化脓性平滑肌瘤）导致的致命性感染性休克病例。这种败血症和多种微生物菌血症的不寻常病因应迅速识别，因为手术治疗是治愈的关键。对1945年以来报告的另外9例病例进行了回顾。脓性子宫肌瘤与近期妊娠或常伴有潜在血管疾病的绝经后患者有关。以下三联征：1）菌血症或败血症；2）子宫平滑肌瘤；3）无其他明显感染源，提示脓性子宫肌瘤的诊断。
