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Streptococcus pneumoniae associated with second-trimester chorioamnionitis. A case report
R Bruno1, S J Feinstein, P Brown
1Department of Obstetrics and Gynecology, Mount Sinai Hospital, Hartford, Connecticut 06112.
The Journal of Reproductive Medicine
|April 1, 1990
Summary
Streptococcus pneumoniae rarely found in vaginal flora caused chorioamnionitis and premature rupture of membranes in a 16-week gestation. This Streptococcus species was isolated from placental membranes, indicating a potential cause of preterm birth complications.
Area of Science:
- Obstetrics and Gynecology
- Microbiology
- Perinatology
Background:
- Streptococcus pneumoniae is an uncommon component of the vaginal microbiome.
- Chorioamnionitis and premature rupture of membranes are significant causes of preterm birth.
Observation:
- A case of chorioamnionitis and premature rupture of membranes at 16-week gestation is presented.
- Cervical specimens yielded both Streptococcus pneumoniae and Ureaplasma urealyticum.
Findings:
- Streptococcus pneumoniae was identified as the causative agent.
- Only Streptococcus species were isolated from samples collected between the placental amnion and chorion.
Implications:
- This finding highlights a rare but serious cause of early pregnancy complications.
- Early identification and management of Streptococcus pneumoniae in vaginal flora may be crucial for preventing preterm birth.