2015 Volume 64 Issue 1 Pages 54-59
We report two cases of severe endometritis in which encapsulated bacillus infection was detected by endometrial cytology, and vaginal culture revealed Klebsiella pneumoniae infection. Case 1: The patient presented with leucorrhea. Encapsulated bacilli were observed in endometrial smears, and vaginal culture revealed K. pneumoniae infection. One month later, the patient was brought to an emergency hospital and diagnosed as having tuboovarian abscess and peritonitis. Case 2: The patient presented with metrorrhagia, abdominal pain, and fever. Encapsulated bacilli were observed in endocervical and endometrial smears. Bilateral oophorectomy and hysterectomy were performed following the diagnosis of acute endometritis, pyosalpingitis and multiple leiomyomas of the uterus. Usually, the aim of cytology is to diagnose the existence of malignant tumors, but not infectious diseases. However, endometrial culture has not been performed for the diagnosis of gynecologic infectious diseases. Thus, we should provide information of infection status in cytology reports.