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Related Experiment Videos

Streptococcus pneumoniae pelvic inflammatory disease. A case report

R M Chudacoff1, R R Taylor

  • 1Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, National Naval Medical Center, Bethesda, Maryland, USA.

The Journal of Reproductive Medicine
|September 1, 1995
PubMed
Summary

Pelvic inflammatory disease (PID) is rarely caused by a single bacterium. Streptococcus pneumoniae was identified as the sole cause of PID in an immunocompetent patient, highlighting an unusual case.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Gynecology

Background:

  • Pelvic inflammatory disease (PID) is typically polymicrobial.
  • Single-agent PID is uncommon, with Streptococcus pneumoniae historically implicated.
  • Recent reports show a high mortality rate for S. pneumoniae PID.

Observation:

  • This case details an immunocompetent patient with PID.
  • Cultures confirmed Streptococcus pneumoniae as the sole causative agent.
  • Samples included cervicovaginal, culdocentesis, and laparoscopic specimens.

Findings:

  • S. pneumoniae was identified as the single bacterial etiology of PID.
  • The absence of a primary pneumococcal source complicates the diagnosis.
  • This presentation is unusual in the postantibiotic era.

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Implications:

  • Highlights the need to consider uncommon single pathogens in PID diagnosis.
  • Suggests potential for S. pneumoniae to cause severe PID without typical risk factors.
  • Underscores the importance of comprehensive microbiological investigation in PID.