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Tian C, Yan H, Tang P, Shi J, Liang M, Wan Y, Li W, Sun X, Qin C. Pelvic infection caused by periodontitis: A case report. Case Rep Womens Health 2023; 40:e00563. [PMID: 38046237 PMCID: PMC10690538 DOI: 10.1016/j.crwh.2023.e00563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/07/2023] [Accepted: 11/08/2023] [Indexed: 12/05/2023] Open
Abstract
Oral bacteria in patients with periodontitis can disseminate into the bloodstream via broken oral epithelial cells, causing odontogenic maxillofacial infections, brain abscesses and endocarditis. However, pelvic infection caused by periodontitis is rare. The case of a 48-year-old woman with a long history of recurrent periodontal infections, who complained of abdominal distention and pain for 14 days after dental implantation, is reported here. Pelvic ultrasound and magnetic resonance imaging signaled multiple inflammatory encapsulated effusions in the posterior uterus, which were removed by laparoscopic surgery and tested with metagenomic next-generation sequencing (mNGS). Through mNGS, numerous oral pathogens, including Filifactor alocis, were identified in the pelvic effusions. The patient was subsequently diagnosed with a pelvic infection originating from periodontitis, and recovered after undergoing surgery and targeted antibacterial treatment. Thus, the possibility of extrabuccal complications in patients with a history of periodontitis or invasive oral procedures merits closer attention.
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Affiliation(s)
- Cuihong Tian
- Clinical Research Center, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
- Clinical Research Center, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
- Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
- Center for Precision Health, Edith Cowan University, Perth, WA 6027, Australia
| | - Hongle Yan
- Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Ping Tang
- Department of General Practice, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
| | - Jinqiu Shi
- Department of Obstetrics and Gynecology, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
| | - Maolian Liang
- Department of Obstetrics and Gynecology, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
| | - Yanyan Wan
- Department of Science and Education, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
| | - Weiping Li
- Department of Cardiology, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
- Department of Information, First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong 515041, China
| | - Xizhuo Sun
- Department of Oncology Immunology, Luohu Hospital Group, Shenzhen, Guangdong 518001, China
| | - Chenglu Qin
- Department of Obstetrics and Gynecology, Luohu Clinical College of Shantou University Medical College, Shenzhen, Guangdong 518001, China
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Xavier RGC, Santana CH, de Castro YG, de Souza TGV, do Amarante VS, Santos RL, Silva ROS. Canine Pyometra: A Short Review of Current Advances. Animals (Basel) 2023; 13:3310. [PMID: 37958065 PMCID: PMC10647846 DOI: 10.3390/ani13213310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 10/13/2023] [Accepted: 10/24/2023] [Indexed: 11/15/2023] Open
Abstract
Pyometra, characterized by the accumulation of purulent exudate in the uterus, is the most prevalent reproductive disease in canines. While the disease often begins with mild local symptoms, it can escalate into peritonitis, sepsis, and multi-organ dysfunction, thereby posing a significant threat to life. Despite the high incidence and recognized significance of canine pyometra, gaps persist in our understanding of its epidemiology, etiology, and pathogenesis. Recent studies have, however, broadened our comprehension of this disease, shedding light on potential new infection sources, etiologies, and the application of clinical predictive biomarkers and new therapeutic protocols. This study aimed to review the current understanding of canine pyometra, with particular emphasis on the latest research concerning its etiology and epidemiology. Furthermore, it addressed key research questions and proposed directions for future investigations into various facets of canine pyometra.
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