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Published on: November 16, 2016
[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.
Abstract:
Bacteremia with streptococcus group G is a rare infection, particularly in the post-partum, but of which the incidence has been increasing since the end of the 20th century. The objective of our work is to report the clinical and the bacteriologic aspects, as well as the therapeutic modalities of an exceptional case of bacteremia with streptococcus group G, after a normal vaginal delivery, in a 26-year-old woman. Streptococcus group G being a part of the normal flora of the female genital tract, the endogenous contamination probably took place by passage in the blood circulation during the episiotomy.
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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