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Bartholinitis due to Aggregatibacter aphrophilus: a case report
Morgane Choquet1, Emilie Pluquet1, Sandrine Castelain2,3
1Department of Bacteriology, Amiens University Hospital, Amiens, France.
BMC Infectious Diseases
|October 21, 2016
Summary
Aggregatibacter aphrophilus, a rare cause of bartholinitis, was identified in a patient with genital pain. Effective treatment of recurrent bartholinitis is crucial.
Area of Science:
- Microbiology
- Infectious Diseases
Background:
- Aggregatibacter aphrophilus is a commensal of oro-pharyngeal flora and a member of the HACEK group.
- It is an uncommon pathogen, previously linked to various infections like abscesses, meningitis, and endocarditis.
Observation:
- A 33-year-old woman presented with a 3-day history of genital pain without fever or urinary symptoms.
- Bartholinitis was diagnosed, and incision and drainage were performed.
Findings:
- Aggregatibacter aphrophilus was the sole microorganism identified in the pus from the Bartholin's gland abscess.
- The patient did not receive antibiotic treatment, and her clinical course was favorable post-drainage.
Implications:
- This case represents the first reported instance of bartholinitis caused by Aggregatibacter aphrophilus.
- It underscores the significance of appropriate management for recurrent bartholinitis, potentially including surgical gland resection.