单纯疱疹病毒引起的产后子宫内膜炎。

Postpartum endometritis caused by herpes simplex virus.

作者信息

Hollier L M, Scott L L, Murphree S S, Wendel G D

机构信息

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, USA.

出版信息

Obstet Gynecol. 1997 May;89(5 Pt 2):836-8. doi: 10.1016/s0029-7844(97)00106-3.

DOI:10.1016/s0029-7844(97)00106-3

PMID:9166341

Abstract

BACKGROUND

Herpes simplex virus (HSV) is rarely the causative agent of endometritis and is usually found in association with pelvic inflammatory disease. Only one case of postpartum HSV endometritis has been reported.

CASES

We describe two cases of herpes simplex postpartum endometritis. Neither patient had genital HSV lesions noted at the time of delivery. The first case developed after a preterm cesarean delivery in an 18-year-old primipara. She had persistent puerperal fever despite broad-spectrum anti-microbial treatment. The second case was a 16-year-old primipara whose vaginal delivery was complicated by severe postpartum endometritis. Vulvar and endometrial cultures were positive for HSV alone in both patients. Both infants died from disseminated HSV infection.

CONCLUSION

Herpes simplex virus can cause clinical postpartum endometritis.

摘要

背景

单纯疱疹病毒（HSV）很少是子宫内膜炎的病原体，通常与盆腔炎相关。仅报告过一例产后HSV子宫内膜炎病例。

病例

我们描述两例产后单纯疱疹病毒子宫内膜炎病例。两名患者在分娩时均未发现生殖器HSV病变。第一例发生在一名18岁初产妇的早产剖宫产术后。尽管进行了广谱抗菌治疗，她仍持续产褥热。第二例是一名16岁初产妇，其阴道分娩并发严重产后子宫内膜炎。两名患者的外阴和子宫内膜培养物仅HSV呈阳性。两名婴儿均死于播散性HSV感染。