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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.
Abstract:
Streptococcus pneumoniae is found rarely in the normal vaginal flora but appeared to be the cause of chorioamnionitis and premature rupture of the membranes in a 16-week gestation. Both S pneumoniae and Ureaplasma urealyticum were recovered from cervical specimens, but only the Streptococcus grew from samples taken between the placental amnion and chorion.
Insights
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.