First molecular evidence of intrauterine and surgical-site infections caused by Streptococcus dysgalactiae subsp.

Binghuai Lu1, Baowei Diao, Yujie Fang

  • 1Civil Aviation General Hospital, Beijing, China. zs25041@126.com.

Insights

Streptococcus dysgalactiae subsp. equisimilis (SDSE) can cause rare but serious maternal infections during childbirth. This case highlights SDSE

Area of Science:

  • Microbiology
  • Obstetrics
  • Infectious Diseases

Background:

  • Streptococcus dysgalactiae subsp. equisimilis (SDSE) is rarely linked to maternal infections.
  • Pregnancy and childbirth present unique risks for certain bacterial infections.

Observation:

  • A rare case of intrauterine and surgical-site infection caused by SDSE in a woman post-cesarean section is detailed.
  • SDSE colonized the genital tract and ascended to infect intact fetal membranes.

Findings:

  • Isolates were identified as Streptococcus Lancefield group G, stG6.1 emm type.
  • Molecular typing (PFGE, MLST) revealed identical profiles and a novel sequence type for the isolates.
  • SDSE isolates were positive for non-superantigenic virulence genes.

Implications:

  • SDSE demonstrates potential pathogenicity in pregnant women and newborns.
  • This case underscores the importance of recognizing SDSE as a potential pathogen in obstetric settings.
  • Further research into SDSE virulence factors and transmission in pregnant populations is warranted.