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J Obstet Gynaecol Res ; 38(7): 1024-7, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22487420

ABSTRACT

Toxoplasmosis is a protozoan infection caused by Toxoplasma gondii. We report a case of Toxoplasma gondii and Clostridium perfringens co-infection complicating uterine gas gangrene following a term pregnancy. The histological examination of the necrotic uterine tissues and uterine swab cultures obtained at laparotomy revealed T. gondii and C. perfringens, respectively. Treatment was administered with bactericidal activity against both pathogens and the patient had an uneventful post-operative recovery. Although there have been some cases that have documented an association between toxoplasmosis and non-uterine C. perfringens infection, such a relationship has not been established. It is of interest to determine if the presence of both organisms can explain the severe myonecrosis that occurs in some cases of uterine gas gangrene.


Subject(s)
Clostridium perfringens/isolation & purification , Coinfection/drug therapy , Gas Gangrene/drug therapy , Puerperal Disorders/drug therapy , Toxoplasma/isolation & purification , Toxoplasmosis/drug therapy , Uterus/pathology , Adult , Anti-Bacterial Agents/therapeutic use , Coccidiostats/therapeutic use , Coinfection/microbiology , Coinfection/parasitology , Drug Therapy, Combination , Female , Gas Gangrene/microbiology , Gas Gangrene/pathology , Humans , Necrosis , Puerperal Disorders/microbiology , Puerperal Disorders/parasitology , Puerperal Disorders/pathology , Reproductive Tract Infections/drug therapy , Reproductive Tract Infections/microbiology , Reproductive Tract Infections/parasitology , Toxoplasmosis/parasitology , Toxoplasmosis/pathology , Treatment Outcome , Uterus/microbiology , Uterus/parasitology , Young Adult
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