Indication

Enterococcus endometritis

*Enterococcus* endometritis is an infectious inflammatory condition of the endometrium caused or co-colonized by *Enterococcus* species, primarily *Enterococcus faecalis*. Read more about Enterococcus endometritis

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About Enterococcus endometritis.

*Enterococcus* endometritis is an infectious inflammatory condition of the endometrium caused or co-colonized by *Enterococcus* species, primarily *Enterococcus faecalis*.

It most commonly affects obstetric patients during the postpartum period—particularly following cesarean delivery, prolonged labor, or instrumental interventions—as well as gynecologic patients undergoing intrauterine procedures or experiencing chronic endometritis-related subfertility.

Pathophysiologically, enterococci ascend from the lower genital or gastrointestinal flora into the uterine cavity, often within polymicrobial biofilms or emerging after exposure to cephalosporin prophylaxis due to intrinsic resistance.

Defining clinical features in acute or postpartum presentations include fever, uterine fundal tenderness, lower abdominal pain, and foul-smelling lochia, whereas chronic presentations typically feature persistent stromal plasma cell infiltration, abnormal uterine bleeding, or pelvic discomfort.

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