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Published on: February 23, 2014
An Uncommon Site of Streptococcus pneumoniae Colonization Leading to Recurrent Pneumococcal Disease
Parham Sendi1,2, Eva Maria Moser Schaub3, Konstantinos Nirgianakis4
1Departments of Infectious Diseases.
Abstract:
This report describes a case of relapsing pneumococcal peritonitis. The postulated source of infection was vaginal colonization and secondary adherence of pneumococci to an intrauterine contraceptive device. After immunization with a conjugate pneumococcal vaccine, her antibody levels were observed. She remained infection free at the 2-year follow-up investigation.
Insights
This case study shows a woman who experienced recurrent pneumococcal peritonitis, likely due to an intrauterine device. Vaccination with a pneumococcal conjugate vaccine led to increased antibody levels and prevented further infections.
Area of Science:
- Infectious Diseases
- Immunology
- Gynecology
Background:
- Recurrent pneumococcal peritonitis is a rare but serious condition.
- Intrauterine devices (IUDs) have been associated with an increased risk of pelvic inflammatory disease.
- Vaginal colonization with Streptococcus pneumoniae can be a source of infection.
Purpose of the Study:
- To describe a case of relapsing pneumococcal peritonitis.
- To investigate the potential role of an intrauterine contraceptive device in recurrent infection.
- To evaluate the efficacy of pneumococcal conjugate vaccine in preventing recurrence.
Main Methods:
- Case report.
- Clinical observation.
- Serological testing for pneumococcal antibodies before and after vaccination.
Main Results:
- The patient experienced recurrent episodes of pneumococcal peritonitis.
- Vaginal colonization with Streptococcus pneumoniae was identified as the likely source.
- Immunization with a pneumococcal conjugate vaccine resulted in elevated antibody titers.
- The patient remained free of infection at a 2-year follow-up.
Conclusions:
- An intrauterine contraceptive device can serve as a nidus for recurrent pneumococcal peritonitis in colonized women.
- Pneumococcal conjugate vaccination may be an effective strategy for preventing recurrent infections in susceptible individuals.
- This case highlights the importance of considering IUDs in the differential diagnosis of recurrent peritonitis.
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