Unidad de Gestión Clínica de Obstetricia y Ginecología, Instituto de Investigación Biosanitaria de Granada, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Servicio de Microbiología, Instituto de Investigación Biosanitaria de Granada, Hospital Universitario Virgen de las Nieves, Avenida de las Fuerzas Armadas, 2, 18012, Granada, Spain.
Infection. 2019 Feb;47(1):111-114. doi: 10.1007/s15010-018-1175-8. Epub 2018 Jul 6.
We report the first case of an association between Leptotrichia trevisanii and an episode of pelvic inflammatory disease (PID) and the second case of the isolation of this infection in the cervical canal. A 45-yr-old woman was admitted to our emergency department with clinical and radiological signs and symptoms compatible with an episode of PID. She was hospitalized for intravenous antibiotic control and treatment and the subsequent surgical drainage of abscesses. Cultures were taken throughout the process, but only cultures from cervical canal exudate were positive, with the growth of L. trevisanii species. It appears important to carry out a complete microbiological screening, not limited to conventional agents, on adequate clinical samples to detect possible infectious agents that may be missed in these cases.
我们报告了首例与盆腔炎（PID）发作相关的纤毛菌属和第二例该感染在宫颈管中的分离病例。一名 45 岁女性因符合 PID 发作的临床和影像学表现和症状而被收入我院急诊科。她因静脉抗生素控制和治疗以及随后的脓肿引流而住院。在整个过程中进行了培养，但只有宫颈管渗出物的培养物呈阳性，生长有纤毛菌属。在适当的临床标本上进行全面的微生物筛查，不仅限于常规药物，以检测可能在这些情况下漏诊的潜在感染因子，这一点似乎很重要。
