Wang Yuping, Ferrero Simone, Li Shasha, Liu Shisan, Yang Wah
Department of Pharmacy, The First Affiliated Hospital of Jinan University, Guangzhou, P. R. China.
IRCCS Ospedale Policlinico San Martino, University of Genova, Genova, Italy.
Case Rep Perinat Med. 2022 Mar 14;11(1):20210048. doi: 10.1515/crpm-2021-0048. eCollection 2022 Jan.
Pelvic actinomycotic abscess is uncommon and its presentation as a post-cesarean complication may be confused with hemorrhagic mass. It is still a disease that poses a significant diagnostic challenge. Management and prognosis are not well known for this type of infection.
A 36-year-old woman was admitted to the hospital six days after the cesarean section with abdominal pain and dysuria. The second operation was diagnosed as pelvic abscess, debridement and drainage about 250 mL abscess. Bacterial culture of abscess confirmed as infection. Intravenous penicillin was given immediately, amoxicillin was taken orally for three months after discharge, and no recurrence was found after follow-up for ten months.
Pelvic abscess may be confirmed through correct bacterial culture and cured by a short-term course of Amoxicillin. With prompt recognition and treatment, favorable outcomes of pelvic Actinomycotic abscess in the perinatal period could be achieved.
盆腔放线菌性脓肿并不常见，其作为剖宫产术后并发症的表现可能与出血性肿块相混淆。它仍然是一种具有重大诊断挑战的疾病。对于这种类型的感染，其管理和预后尚不明确。
一名36岁女性在剖宫产术后六天因腹痛和排尿困难入院。二次手术诊断为盆腔脓肿，清创并引流约250毫升脓肿。脓肿细菌培养确诊为感染。立即给予静脉注射青霉素，出院后口服阿莫西林三个月，随访十个月未发现复发。
盆腔放线菌性脓肿可通过正确的细菌培养得以确诊，并通过短期服用阿莫西林治愈。通过及时识别和治疗，围生期盆腔放线菌性脓肿可取得良好预后。
