巴氏腺脓肿并发F群链球菌菌血症。
Group F streptococcal bacteremia complicating a Bartholin's abscess.
作者信息
DeAngelo A J, Dooley D P, Skidmore P J, Kopecky C T
机构信息
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200, USA.
出版信息
Infect Dis Obstet Gynecol. 2001;9(1):55-7. doi: 10.1155/S1064744901000102.
BACKGROUND
Group F streptococci are gram-positive cocci typically isolated from wound infections and abscesses. Bacteremia with group F streptococcus is uncommon, and the lower gynecologic tract has not been reported as a source. We report a case of a Bartholin's abscess leading to group F streptococcal bacteremia.
CASE
A 31-year-old female noted fever and rigors 30 min after manipulation of a 3-day-old vulvar abscess. An empty Bartholin's gland abscess was found on examination, and blood cultures grew beta-hemolytic group F streptococci. The patient was treated with ampicillin/sulbactam, symptoms improved, and follow-up blood cultures revealed no growth.
CONCLUSION
Group F streptococci are known to inhabit various body sites and have a predilection for forming abscesses; however, bacteremia is infrequent. They have occasionally been identified in true infections of the genitourinary tract but only very rarely in Bartholin's abscesses. This case of group F streptococcal bacteremia following self-drainage of a Bartholin's abscess constitutes the first such description in the medical literature.
背景
F 组链球菌是革兰氏阳性球菌，通常从伤口感染和脓肿中分离出来。F 组链球菌引起的菌血症并不常见，且尚未有报道称下生殖道是其感染源。我们报告一例巴氏腺脓肿导致 F 组链球菌菌血症的病例。
病例
一名 31 岁女性在对一个 3 天的外阴脓肿进行处理 30 分钟后出现发热和寒战。检查发现巴氏腺脓肿已破溃，血培养生长出β溶血性 F 组链球菌。患者接受氨苄西林/舒巴坦治疗，症状改善，后续血培养未生长细菌。
结论
已知 F 组链球菌存在于身体的各个部位，且易于形成脓肿；然而，菌血症并不常见。它们偶尔在泌尿生殖道的真性感染中被发现，但在巴氏腺脓肿中极为罕见。这例巴氏腺脓肿自行破溃后发生 F 组链球菌菌血症的病例是医学文献中的首例此类描述。
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