{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:03:02Z","timestamp":1740164582376,"version":"3.37.3"},"reference-count":9,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T00:00:00Z","timestamp":1555459200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,4,17]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Postpartum endometritis is a fairly common postoperative complication occurring in up to 11 percent of all cesarean deliveries. Multidrug-resistant pathogenic organism is increasingly a factor in postoperative source of infection. Postpartum endomyometritis from a multidrug-resistant<jats:italic> Escherichia coli<\/jats:italic> infection resulting in uterine is one such rare clinical circumstance where there is minimal information in the literature to guide its treatment and management.<jats:italic> Case<\/jats:italic>. A 29-year-old G1P0 who underwent a primary cesarean delivery for a failed induction of labor developed endomyometritis on post-op day one and was treated with multiple broad-spectrum antibiotic regimens. The source of infection was found to be multidrug-resistant<jats:italic> Escherichia coli <\/jats:italic>with uterine involvement and pelvic abscesses, requiring hysterectomy and drainage of pelvic abscesses. Severe uterine necrosis from this multidrug-resistant<jats:italic> Escherichia coli <\/jats:italic>infection was noted intraoperatively. After three weeks of antibiotic therapy, she had resolution of her infection.<jats:italic> Conclusion<\/jats:italic>. Multidrug-resistant<jats:italic> Escherichia coli <\/jats:italic>is a highly pathogenic organism that can cause endomyometritis, persistent bacteremia, and uterine necrosis, which necessitates definitive surgical management with hysterectomy to achieve resolution of the infection.<\/jats:p>","DOI":"10.1155\/2019\/6715974","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T20:09:46Z","timestamp":1555531786000},"page":"1-3","source":"Crossref","is-referenced-by-count":4,"title":["Multidrug-Resistant<i> Escherichia coli<\/i> Resulting in Postpartum Necrotizing Endomyometritis"],"prefix":"10.1155","volume":"2019","author":[{"given":"Joan","family":"Tymon-Rosario","sequence":"first","affiliation":[{"name":"Montefiore Medical Center, Department of Obstetrics & Gynecology and Women\u2019s Health, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7998-7826","authenticated-orcid":true,"given":"Meleen","family":"Chuang","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, Department of Obstetrics & Gynecology and Women\u2019s Health, Bronx, NY, USA"},{"name":"Albert Einstein College of Medicine, Bronx, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2013.818970"},{"issue":"12","key":"2","volume":"10","year":"2016","journal-title":"ournal of Clinical and Diagnostic Research"},{"issue":"9","key":"3","first-page":"687","volume":"48","year":"2003","journal-title":"The Journal of Reproductive Medicine"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2008.00900.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12725"},{"issue":"10","key":"6","first-page":"1699","volume":"19","year":"2013","journal-title":"Emerging Infectious Diseases"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.yexmp.2008.03.007"},{"key":"8","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.ijmm.2010.04.009","volume":"300","year":"2010","journal-title":"Journal of Medical Microbiology"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/S1286-4579(03)00049-2"}],"container-title":["Case Reports in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/6715974.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/6715974.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criog\/2019\/6715974.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T20:09:48Z","timestamp":1555531788000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criog\/2019\/6715974\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,17]]},"references-count":9,"alternative-id":["6715974","6715974"],"URL":"https:\/\/doi.org\/10.1155\/2019\/6715974","relation":{},"ISSN":["2090-6684","2090-6692"],"issn-type":[{"type":"print","value":"2090-6684"},{"type":"electronic","value":"2090-6692"}],"subject":[],"published":{"date-parts":[[2019,4,17]]}}}