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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
Summary
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.
- 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.