Prichard J G, Lowenstein M H, Silverman I J, Brennan J C
Obstet Gynecol. 1986 Sep;68(3 Suppl):46S-49S.
A 37-year-old woman with clinically occult, abscessed uterine myomas presented with fever, anemia, splenomegaly, and viridans streptococcal bacteremia. An initial diagnosis of endocarditis was made, but fever persisted despite appropriate antibiotics. Pelvic pain evolved and laparotomy revealed an infected myoma. Streptococcus milleri was isolated from both the blood and the uterine abscess. Infected uterine myomata may be clinically silent despite producing sustained bacteremia. The occurrence of suppurating myomas and the significance of S milleri isolates are briefly reviewed.
一名37岁女性，患有临床隐匿性、脓肿性子宫肌瘤，出现发热、贫血、脾肿大和草绿色链球菌菌血症。最初诊断为心内膜炎，但尽管使用了适当的抗生素，发热仍持续。盆腔疼痛逐渐出现，剖腹手术发现一个感染的肌瘤。血液和子宫脓肿中均分离出米勒链球菌。感染的子宫肌瘤尽管会产生持续性菌血症，但在临床上可能并无症状。本文简要回顾了化脓性肌瘤的发生情况以及米勒链球菌分离株的意义。
