[Group G streptococcal bacteremia in the post-partum period. A case report]

C Verdonk1, J-N Botto1, I Worcel1

  • 1Service de gynécologie-obstétrique, centre hospitalier de Neuilly-sur-Seine, 36, boulevard du Général-Leclerc, BP 79, 92205 Neuilly-Sur-Seine cedex, France.

Insights

Group G Streptococcus bacteremia is a rare postpartum infection with increasing incidence. This case highlights its occurrence after normal vaginal delivery, likely due to endogenous contamination.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Microbiology

Background:

  • Group G Streptococcus (GGS) is part of the normal female genital flora.
  • Bacteremia due to GGS is uncommon, especially in the postpartum period.
  • The incidence of GGS bacteremia has been rising globally since the late 20th century.

Observation:

  • A 26-year-old woman developed GGS bacteremia following a normal vaginal delivery.
  • The patient had undergone an episiotomy during childbirth.
  • Clinical and bacteriologic data were collected for this exceptional case.

Findings:

  • Endogenous contamination from the genital tract is the probable source of infection.
  • Bacteremia likely occurred due to GGS entering the bloodstream during the episiotomy procedure.
  • This case underscores the potential for GGS to cause postpartum infections.

Implications:

  • Highlights the importance of recognizing GGS as a potential pathogen in postpartum infections.
  • Suggests vigilance for GGS bacteremia even after uncomplicated deliveries.
  • Informs clinical management and therapeutic strategies for rare postpartum infections.

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