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Hemophilus vaginalis bacteremia
Canadian Medical Association Journal
|February 23, 1980
Summary
Postpartum bacteremia caused by Hemophilus vaginalis occurred in eight women, primarily after cesarean sections. All patients recovered with antibiotic treatment, highlighting this bacterium as an infrequent cause of bloodstream infections following obstetric trauma.
Area of Science:
- Microbiology
- Obstetrics & Gynecology
- Infectious Diseases
Background:
- Postpartum infections can arise from various bacterial agents.
- Hemophilus vaginalis (now Gardnerella vaginalis) is a known component of the vaginal microbiota.
Purpose of the Study:
- To report cases of Hemophilus vaginalis bacteremia in postpartum women.
- To describe the clinical features and outcomes of these infections.
Main Methods:
- Retrospective case review of eight women with Hemophilus vaginalis bacteremia between 1975-1977.
- Analysis of clinical data including delivery mode, symptoms, and treatment.
Main Results:
- Eight previously healthy women developed Hemophilus vaginalis bacteremia postpartum.
- Common symptoms included postpartum fever (pyrexia) and elevated white blood cell count (neutrophilia).
- Six of the eight women had undergone cesarean section.
Conclusions:
- Hemophilus vaginalis is an uncommon cause of postpartum bacteremia.
- Obstetric trauma, particularly cesarean section, appears to be a risk factor.
- Prompt antibiotic treatment leads to uneventful recovery.