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Puerperal Streptococcus pneumoniae endometritis : a case report and literature review

By Gabriel Galea, Rodianne Abela, Catriona Deguara, Paul Cuschieri and Mark P. Brincat


Streptococcus pneumoniae endometritis is an exceedingly rare clinical occurrence in the immunocompetent individual. This case report describes such an occurrence in an otherwise healthy woman 39 days post-normal vaginal delivery. The patient responded to prompt broad-spectrum intravenous antibiotics and made a full recovery. The clinical relevance of such a scenario, the likely pathogenesis of the event as well as a brief review of relevant clinical literature are discussed. \ud \ud Streptococcus pneumoniae genital infection was a well-documented clinical entity in the pre-antibiotic era with a high mortality rate – 26% for localised infection and 74% for peritonitis and sepsis. More recently, however, there have been only isolated reports of Streptococcus pneumoniae genital infection, with even less frequent accounts of this happening in immunocompetent individuals. In this report, we document a case of Streptococcus pneumoniae endometritis in a young, previously healthy female 39 days post-partum

Topics: Endometritis -- Case studies, Streptococcus pneumoniae -- Malta, Endometritis -- Treatment, Puerperal Infection -- Case studies
Publisher: Malta Medical Journal
Year: 2014
OAI identifier:
Provided by: OAR@UM

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  1. Abnormalities of the puerperium.
  2. (2009). and Bennett’s principles and practice of Infectious Diseases. 7th Ed. Philadelphia: Churchill Livingstone Elsevier; doi
  3. Antibiotic prophylaxis against postpartum endometritis after vaginal delivery: a prospective randomized comparison between Amox-CA (Augmentin®) and abstention. doi
  4. (2007). Antibiotic regimens for endometritis after delivery (Review). The Cochrane Library, doi
  5. Bacteremia on an obstetric-gynecologic service. doi
  6. Bacterial flora of the cervix from 100 prehysterectomy patients. doi
  7. Hertig AT. Pneumococcus infection of the genital tract in women: Especially during pregnancy and the puerperium.
  8. (2010). Infectious Diseases. 3rd Ed.
  9. (1991). Pneumococcal endometritis with peritonitis: Case report and review of the literature. Can J Infect Dis. doi
  10. Puerperal endometritis: A prospective microbiologic study. doi
  11. (2007). Puerperal pyrexia: a review. Part II. Obstet Gynecol Surv. doi
  12. Royal College of Obstetricians and Gynaecologists. Bacterial Sepsis following Pregnancy. doi
  13. Stimulating an immune response? Oral sex is associated with less endometritis. doi
  14. (1994). Streptococcus pneumoniae as a cause of Salpingitis. Infect Dis Obstet Gynecol.
  15. (1990). Streptococcus pneumoniae infections of the female genital tract and in the newborn child. Rev. Infect Dis. doi

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