[Peritonitis secondary to perforated pyometra in a patient with cervical cancer: report of a case]. / Peritonitis secundaria a piometra perforado en una paciente con cáncer cervical: informe de un caso.

We describe a clinical case of a postmenopausal woman with a perforated pyometra with clinical manifestations of generalized peritonitis. In the English literature there are 15 reported cases and only 2 secondary to cancer of cervix, our case in the 3rd. case reported in detail. We make pertinent considerations regarding the management of this extremely rare complication.

[Post-cesarean necrotizing fasciitis. Bacterial synergism, or mixed infection of the soft tissues?]. / Fascitis necrotizante postcesárea. Sinergismo bacteriano o infección mixta de tejidos blandos?

It has been demonstrated recently that most of the disemminated infections of the dermis, necrotizing fascitis included are due to a mix bacteria infection working sinergistically, demonstrated by clinical studies as well as in experimental animals. Treatment based on wide spectrum antibiotics and extensive debridement of the necrotic tissue performed by a team of several specialists have diminished mortality to 10%. We report a case of necrotizing fasciitis following a cesarean section in the absence of risk factors. We discuss risk factors, classification, etiology, diagnosis and therapy in light of the current knowledge.