Primary Peritonitis: An Index Case of Mycoplasma hominis Infection in a Healthy Female
نویسندگان
چکیده
Introduction Primary peritonitis in healthy immunocompetent individuals is rare. Several case reports of Streptococcus species causing peritonitis have been described. Here, we present the first case of Mycoplasma hominis as the cause of primary peritonitis in a healthy woman. Case Report A 42-year-old female with history of uterine fibroids was admitted with abdominal pain and intraperitoneal fluid of unknown etiology. She was initially managed nonoperatively and empirically treated with broad spectrum antibiotics. Blood and urine cultures were unrevealing. Increasing abdominal pain and peritoneal fluid prompted diagnostic laparoscopy which revealed a dense fibrinous exudate covering the entire peritoneal cavity. Peritoneal fluid and biopsies were sent for cytology and culture. The peritoneal fluid was eventually sent for 16 s ribosomal analysis, which discovered Mycoplasma hominis RNA. Her antibiotics were narrowed, and she eventually made a full recovery. Discussion M. hominis is a rare source of systemic infection but has been known to colonize the urogenital tract and cause localized infections. This is the first presentation of M. hominis causing primary peritonitis in a healthy immunocompetent female. Multidisciplinary management of these patients is critical to achieve a timely diagnosis. Surgical exploration is often unavoidable to rule out secondary peritonitis.
منابع مشابه
Extensive chronic xanthogranulomatous intra-abdominal inflammation due to Mycoplasma hominis mimicking a malignancy: a case report
Introduction: While infectious peritonitis is a common occurrence in patients with liver cirrhosis, Mycoplasma is rarely identified as a causative agent. Case presentation: We report the case of a 43-year-old Caucasian woman presenting with an extensive abdominal conglomerate tumor mimicking malignancy. A histologic specimen showed a xanthogranulomatous inflammation. Subsequently, Mycoplasma ho...
متن کاملProstatic massage method versus first -void Urine samples to isolate Mycoplasma hominis and Ureaplasma urealyticum from urinary tract infection
Abstract Background and objectives: Ureaplasma urealyticum is one of the most important causes of Nongonococcal urethritis (NGU) and non-specific urethritis (NSU) in men. Also Mycoplasma hominis has a role in causing NGU and NSU. The aim of this study was the detection of Mycoplasma hominis & Ureaplasma urealyticum in men suffering from NGU and NSU by prostatic massage method and first- void Ur...
متن کاملExtragenital Mycoplasma hominis infection in two liver transplant recipients.
Mycoplasma hominis has been recognized as an extragenital pathogen in immunocompromised hosts, including kidney and heart transplant recipients; patients with systemic autoimmune diseases, lymphomas, or leukemia; and patients who have undergone cardiac surgery or who have experienced trauma [1, 2]. Liver transplantation has rarely been reported to increase host susceptibility to intraabdominal ...
متن کاملGenital Mycoplasma Infection in Cases of Abortion
Abstract Background and Objective: Mycoplasma hominis and Ureaplasma urealyticum are recognized as the main pathogens of urogenital tract. Mycoplasma genitalium can cause several reproductive tract inflammatory syndromes in women. Material and Methods: This study was conducted on 100 women with the history of abortion. The samples were obtained from cervical secretions and remaining products...
متن کاملبررسی سرو اپیدمیولوژیک عفونتهای مایکوپلاسما هومینیس در مراجعه کنندگان با رفتارهای پر خطر جنسی به کلینیک بیماریهای رفتاری در شهرستان ارومیه در سال 1395-1394
Background & Aims: Sexually transmitted diseases are the most prevalent causes of sexually transmitted infections. One of these infections is Mycoplasma hominis. The aim of this study was determine serological frequency of Mycoplasma hominis and its effective factors in patients with high risk sexual behaviors in Urmia behavioral diseases clinic in 2016-2017. Materials & Methods: In this case-...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
دوره 2018 شماره
صفحات -
تاریخ انتشار 2018