Komagamine Junpei, Takarada Chika, Yabuki Taku
Internal Medicine, National Hospital Organization Tochigi Medical Center, Utsunomiya, JPN.
Cureus. 2022 Feb 22;14(2):e22504. doi: 10.7759/cureus.22504. eCollection 2022 Feb.
Postpartum ovarian vein thrombosis (POVT) is an uncommon cause of postpartum fever. Because POVT is sometimes complicated by pulmonary embolism, preventing diagnostic delay is critical. Nonetheless, the diagnostic delay of POVT is common due to its rarity. Antibiotics along with anticoagulants are recommended as the standard therapy for POVT, but this recommendation is based on older, low-quality literature. Here, we present a case of POVT, presenting with a persistent postpartum fever, which was treated by anticoagulants without antibiotics. Our case highlights the importance of awareness of POVT as a differential diagnosis and the need for studies to investigate the role of antibiotics in POVT.
产后卵巢静脉血栓形成（POVT）是产后发热的一种罕见原因。由于POVT有时会并发肺栓塞，因此防止诊断延误至关重要。尽管如此，由于其罕见性，POVT的诊断延误很常见。抗生素联合抗凝剂被推荐作为POVT的标准治疗方法，但这一推荐是基于较陈旧、质量较低的文献。在此，我们报告一例POVT病例，该病例表现为产后持续发热，通过抗凝剂治疗，未使用抗生素。我们的病例强调了将POVT作为鉴别诊断的重要性，以及开展研究以调查抗生素在POVT中的作用的必要性。
