Sara Vodopivec1,2, Miha Lučovnik1,2, Jana Pahole Goličnik3 and Andreja Trojner Bregar1,2*
1Department of Perinatology, Division of Obstetrics and Gynecology, University Medical Centre Ljubljana, Slovenia 2Department of Medicine, University of Ljubljana, Slovenia 3Institute of Oncology Ljubljana, SloveniaFulltext PDF
There are numerous infectious and non-infectious causes of fever in the postpartum period. We present a case of a 30-year-old secundipara with puerperal fever which persisted despite initial broadspectrum antibiotic therapy. Chest X-ray was eventually taken and showed perihilar infiltrates that were subsequently diagnosed to be enlarged lymph nodes due to Hodgkin lymphoma. The case highlights the importance of constructing a thorough differential diagnosis when managing women with fever in the postpartum period. This is especially important when therapy for most common infectious etiologies has not been successful.
Vodopivec S, Lučovnik M, Goličnik JP, Bregar AT. Unexplained Puerperal Fever. Clin Oncol. 2019;4:1655.