Peptococcus endomyometritis

*Peptococcus* endomyometritis is a localized polymicrobial infection of the female upper reproductive tract, specifically involving inflammation of the endometrium and the adjacent myometrium driven or co-driven by anaerobic Gram-positive cocci of the genus *Peptococcus* Most commonly occurring postpartum following cesarean or complicated vaginal delivery, the condition typically arises when normal lower genital tract or vaginal flora ascend into the breached uterine cavity Clinically, it presen...

*Peptococcus* endomyometritis is a localized polymicrobial infection of the female upper reproductive tract, specifically involving inflammation of the endometrium and the adjacent myometrium driven or co-driven by anaerobic Gram-positive cocci of the genus *Peptococcus* Most commonly occurring postpartum following cesarean or complicated vaginal delivery, the condition typically arises when normal lower genital tract or vaginal flora ascend into the breached uterine cavity

Most commonly occurring postpartum following cesarean or complicated vaginal delivery, the condition typically arises when normal lower genital tract or vaginal flora ascend into the breached uterine cavity Clinically, it presents with maternal fever, lower abdominal or pelvic pain, pronounced uterine tenderness, tachycardia, and often foul-smelling lochia or abnormal uterine discharge

Clinically, it presents with maternal fever, lower abdominal or pelvic pain, pronounced uterine tenderness, tachycardia, and often foul-smelling lochia or abnormal uterine discharge

If untreated, the infection can progress beyond the myometrial tissue to involve parametric structures, pelvic peritonitis, or maternal sepsis