{
    "abstract": "To report a case of pyomyoma, a serious complication of the uterine leiomyoma, in a postpartum woman. As the occurrence of pyomyoma in association with pregnancy is rather rare, a brief literature review of the condition in pregnant women is provided.\nA 41-year-old woman was found to have pyomyoma following persistent fever during the postpartum period of a first-time vaginal delivery. Her pregnancy course was complicated by preterm labor, for which the patient had received tocolysis since 30-week gestation. The pyomyoma was promptly removed by myomectomy on day-6 postpartum.\nPyomyoma can occur in both pre- and post-menopausal women, and may even complicate pregnancies. Therefore, obstetricians and gynecologists should be wary of pyomyoma in postpartum women with histories of leiomyoma that present with sepsis of unknown focus that is refractory to standard antibiotics. Fertility may be preserved through timely diagnosis, followed by a prompt intervention.",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei City, Taiwan.",
            "firstname": "Ming-Chu",
            "initials": "MC",
            "lastname": "Kenix Choi"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei City, Taiwan.",
            "firstname": "Li-Ching",
            "initials": "LC",
            "lastname": "Chen"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei City, Taiwan.",
            "firstname": "Chia-Chieh",
            "initials": "CC",
            "lastname": "Lee"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei City, Taiwan. Electronic address: mstsai@cgh.org.tw.",
            "firstname": "Ming-Song",
            "initials": "MS",
            "lastname": "Tsai"
        }
    ],
    "conclusions": "Pyomyoma can occur in both pre- and post-menopausal women, and may even complicate pregnancies. Therefore, obstetricians and gynecologists should be wary of pyomyoma in postpartum women with histories of leiomyoma that present with sepsis of unknown focus that is refractory to standard antibiotics. Fertility may be preserved through timely diagnosis, followed by a prompt intervention.",
    "copyrights": "Copyright \u00a9 2023. Published by Elsevier B.V.",
    "doi": "10.1016/j.tjog.2022.10.007",
    "journal": "Taiwanese journal of obstetrics & gynecology",
    "keywords": [
        "Leiomyoma",
        "Pregnancy",
        "Puerperal pyrexia",
        "Pyomyoma",
        "Suppurative leiomyoma"
    ],
    "methods": null,
    "publication_date": "2023-02-01",
    "pubmed_id": "36720535",
    "results": null,
    "title": "Pyomyoma associated with bacteremia and puerperal pyrexia: A case report.",
    "xml": "<Element 'PubmedArticle' at 0x788504499440>"
}