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Re: Postpartum Uterine Infection

From: Amit (anonymous@obgyn.net)
Fri, 19 May 2000 21:22:32 +0530


Dear Jennine, Temparature and WBC count may not rise and in fact there may be leucopenia and hypothermia. Blood culture frequently shows bacterial growth.It's common when there is some kind of immunosupression or severe gram negative bacterial infection or septicemia. One should look for any other evidence of pus collection/suppuration etc. in the pelvic cavity or POD or subdiaphragmatic space also. It should be treated energetically otherwise it can be life threatening. You need complete work up.Best of luck, Dr.Amit Sengupta, MD; Ph.D. This is for educational purpose only

>----- Original Message -----
From: Jennine <anonymous@obgyn.net> To: Multiple recipients of list PREGNANCY-BIRTH <pregnancy-birth@forum.obgyn.net> Sent: Thursday, May 18, 2000 4:46 AM Subject: Postpartum Uterine Infection

> I am suspecting that I may have a uterine infection.
> I am having unusual pain and tenderness at 16 days postpartum. My temp.
> is 100.3 and I am having dark red discharge with quarter size clots. No
> foul smell, however.
>
> My concern is that when I go to the clinic in the morning and they check
> my white blood count, it will appear normal. After having a D&C in
> 1993, I had a small uterine perferation. After about a month, I
> developed peritonitis (sp?) which was ONLY detected with a laparotomy.
> Throughout the whole illness, my white blood count remained normal and I
> had no fever at all. I was actually close to death. In the month
> between the D&C and laparotomy, I had a VERY difficult time getting my
> MD to believe there was a problem, due to the lack of fever and elevated
> WBC.
>
> I have to see the on-call MD and I am unfamiliar with her. What tests
> could I request and how would you normally treat an infection of this
> sort, assuming I have one? Given my history, how would you handle this?
>
> Thank you for taking the time to respond.
>
> Sincerely,
> Jennine
>




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