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Table 2 Pyomyoma during pregnancy or in postpartum period

From: Postpartum fever in the presence of a fibroid: Sphingomonas paucimobilissepsis associated with pyomyoma

Author and year

Onset of symptoms

Underlying condition

Surgical intervention

Pathogen

Outcome

Dubois [9]

3 weeks postpartum

-

vaginal expulsion of pyomyoma

N/A

N/A

Ruch [10]

5 month pregnancy/1 day postpartum

-

total abdominal hysterectomy + appendectomy

Gram positive cocci

N/A

Wong [11]

3 days post-abortion

18 weeks IUD associated spontaneous abortion

total abdominal hysterectomy + left salpingectomy

Staphylococcus aureus + Serratia marcescens

N/A

Prichard [12]

9 weeks post-abortion (spontaneous)

-

total abdominal hysterectomy + bilateral salpingectomy

Streptococcus milleri

N/A

Tobias [13]

10 weeks post-abortion

uterine fibroids, 15 weeks elective abortion

total abdominal hysterectomy + bilateral salpingectomy

Enterococcus faecalis

S

Prahlow [14]

12 weeks pregnancy

intravenous drug abuse

total abdominal hysterectomy + bilateral salpingectomy + partial omentectomy

Staphylococcus aureus

N/A

Grüne [15]

25 weeks pregnancy

-

cesarean section + myomectomy

Klebsiella pneumoniae

S

Lin [16]

6 days postpartum

uterine fibroids, preterm premature rupture of membranes, surgical site infection (cesarean section)

total abdominal hysterectomy

Escherichia coli + Candida parapsilosis

S

Karcaaltincaba [17]

7 days post-abortion (spontaneous)

-

myomectomy

Peptostreptococcus tetradus

S

Mason [1]

21 days postpartum

manual removal of adherent placenta after full term vaginal delivery

myomectomy

no growth

S

Nguyen [18]

3 weeks postpartum

41 weeks cesarean section delivery, severe chorioamnionitis

total abdominal hysterectomy

Escherichia coli

S

Laubach [19]

18 hours post- abortion (spontaneous)

-

vaginal expulsion of pyomyoma + computed tomography- uided drainage

Escherichia coli

S

Laubach [19]

postpartum period

33 weeks cesarean section delivery, preterm premature rupture of membranes, chorioamnionitis

computed tomography-guided drainage

Escherichia coli + Candida albicans + Candida dubliniensis

S

Laubach [19]

N/A

29 weeks cesarean section delivery, preterm premature rupture of membranes, surgical site infection

computed tomography-guided drainage + subtotal abdominal hysterectomy

Enterococcus faecalis + Streptococcus spp.

S

Shaaban [20]

8 weeks postpartum

cesarean section

myomectomy

Staphylococcus lugdunensis

S

Kobayashi [2]

20 weeks pregnancy

-

myomectomy (21 weeks of gestation)

Anaerobic Gram-negative rods

S

Present case, 2013

30 days postpartum

uterine fibroids

myomectomy

Sphingomonas paucimobilis

S

  1. Abbreviations: N/A not available, IUD intra uterine device, S survived.