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Related Experiment Videos

Lactobacillemia in pregnancy.

M Digamon-Beltran, T Feigman, S A Klein

    Southern Medical Journal
    |September 1, 1985
    PubMed
    Summary

    A pregnant woman with a penicillin allergy received successful treatment for pyelonephritis and bacteremia using erythromycin. This case highlights erythromycin as a safe and effective antibiotic option for Lactobacillus infections during pregnancy.

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    Area of Science:

    • Obstetrics and Gynecology
    • Infectious Diseases
    • Pharmacology

    Background:

    • Pyelonephritis and bacteremia are serious infections that can occur during pregnancy.
    • Penicillin allergy is common and limits antibiotic choices.
    • Lactobacillus species are increasingly recognized as a cause of infection.

    Observation:

    • A pregnant patient presented with symptoms of pyelonephritis and bacteremia.
    • The patient reported a known allergy to penicillin.
    • Cultures identified Lactobacillus as the causative pathogen.

    Findings:

    • Successful treatment of Lactobacillus pyelonephritis and bacteremia was achieved with erythromycin.
    • Erythromycin was well-tolerated by the pregnant patient.
    • No adverse effects were noted in the mother or fetus.

    Implications:

    • Erythromycin is a viable and safe therapeutic option for pregnant women with penicillin allergies experiencing Lactobacillus infections.
    • This case expands the understanding of antibiotic choices for specific bacterial infections in obstetric patients.
    • Highlights the importance of accurate pathogen identification and susceptibility testing in managing pregnancy-related infections.

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