Postoperative Streptococcus constellatus Bacteremia in a 75-Year-Old Patient with Pyometra: A Case Report

[b]BACKGROUND[/b] Pyometra is an accumulation of pus in the uterine cavity. It rare general population but more common elderly women. If diagnosed early stage, life-threating conditions may be avoided. The most etiological microorganisms pyometra are [i]Escherichia coli[/i], [i]Bacteroides[/i] species, [i]Staphylococci[/i] (eg, epidermidis) and [i]Streptococci[/i]. Occasionally, atypical bacteria cause. [b]CASE REPORT[/b] We present case a 75-year-old woman, with multiple risk factors, admitted to Gynecology Department 15-day history yellowish-brown vaginal discharge. Because rapid enlargement cavity, patient underwent endometrial curettage. Three hours after surgery, she developed high-grade fever, [i]Streptococcus constellatus[/i] was isolated her blood cultures. A specific antibiotic therapy administered for total 14 days, resulting complete resolution infection. [b]CONCLUSIONS[/b] This report describes bacteremia caused by constellatus[/i], that resulted from pyometra. classic triad symptoms (postmenopausal bleeding, discharge, lower abdominal pain) helpful diagnosis; however, 50% patients asymptomatic. An recognition condition important avoid risky consequences, such as perforation uterus itself. Nevertheless, surgery can cause dangerous complications bacteremia. different spectrum involved development pyometra, even cases, mostly when comorbidities present. correct evaluation management essential guarantee good prognosis this