Mycoplasma hominis: A Case of Peritonitis and Hyperammonemia Syndrome in a Healthy Postpartum Woman
An 18-year-old woman with a recent uncomplicated spontaneous vaginal delivery presented with altered mental status and new ascites. She had elevated ammonia and blood urea nitrogen levels with normal hepatic enzymes. Peritoneal cultures eventually grew Mycoplasma hominis. She was successfully treate...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-04-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1168 |
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| Summary: | An 18-year-old woman with a recent uncomplicated spontaneous vaginal delivery presented with altered mental status and new ascites. She had elevated ammonia and blood urea nitrogen levels with normal hepatic enzymes. Peritoneal cultures eventually grew Mycoplasma hominis. She was successfully treated with 2 peritoneal drains and a prolonged course of moxifloxacin. A thorough literature review demonstrates, to our knowledge, that this is the second reported case of primary peritonitis due to M hominis in an immunocompetent patient, a possible index case of M hominis in a postpartum patient, and a potential index case of M hominis-induced hyperammonemia syndrome in an immunocompetent patient. |
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| ISSN: | 2767-7664 |