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Group F streptococcal bacteremia complicating a Bartholin's abscess.

A J DeAngelo1, D P Dooley, P J Skidmore

  • 1Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200, USA. adeangelo@pol.net

Infectious Diseases in Obstetrics and Gynecology
|May 23, 2001
PubMed
Summary
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Group F streptococcus bacteremia is rare, with the lower gynecologic tract unreported as a source. This case details a Bartholin

Area of Science:

  • Gynecologic infections
  • Bacteriology
  • Infectious diseases

Background:

  • Group F streptococci are gram-positive cocci commonly found in wound infections and abscesses.
  • Bacteremia caused by group F streptococcus is infrequent, with the lower gynecologic tract rarely identified as a source.
  • Previous literature has not reported Bartholin's abscesses as a source of group F streptococcal bacteremia.

Observation:

  • A 31-year-old female presented with fever and rigors post-manipulation of a vulvar abscess.
  • Examination revealed an empty Bartholin's gland abscess.
  • Blood cultures identified beta-hemolytic group F streptococci.

Findings:

  • The patient received ampicillin/sulbactam, leading to symptom improvement.
  • Follow-up blood cultures were negative, indicating successful treatment.

Related Experiment Videos

  • This case represents the first documented instance of group F streptococcal bacteremia originating from a Bartholin's abscess.

    • Implications:

    • This case expands the known spectrum of infections caused by group F streptococci.
    • It highlights the potential for Bartholin's abscesses to be a source of bacteremia.
    • Clinicians should consider group F streptococci in the differential diagnosis of infections involving the lower gynecologic tract.