De Hert Emilie, Baïli Sarah, Vanden Driessche Marleen, Jansens Hilde, Vandamme Sarah, Jacquemyn Yves, Vodolazkaia Alexandra, Mukovnikova Marina, Mattheus Wesley, Matheeussen Veerle
Department of Microbiology, University Hospital Antwerp, 2650 Edegem, Belgium.
Department of Obstetrics and Gynecology, University Hospital Antwerp, 2650 Edegem, Belgium.
Pathogens. 2023 Nov 5;12(11):1316. doi: 10.3390/pathogens12111316.
Nontyphoidal serovars predominantly cause gastrointestinal infections. However, other clinical presentations, including urogenital infections, have been reported, although they are rather rare.
This case is about a 33-year-old woman diagnosed with serovar Hvittingfoss ( Hvittingfoss) bacteremia and endometritis six days post uterine aspiration in the context of a missed abortion. She had traveled to Indonesia two weeks prior to the positive blood and cervical culture. She never developed gastrointestinal symptoms but was found to carry Hvittingfoss in her stool sample. The patient was successfully treated with a seven-day course of iv ciprofloxacin.
Hvittingfoss is a rare serovar that has caused a few outbreaks of foodborne infections in Asia, the United States, and Australia. To the best of our knowledge, this is the first reported case of urogenital infection caused by this serovar. as a cause of urogenital infections is rare but not uncommon. Therefore, it should be considered in identifying members of the among urogenital flora in cases of severe urogenital infections, especially when other cultures remain negative.
非伤寒血清型主要引起胃肠道感染。然而,其他临床表现,包括泌尿生殖系统感染,也有报道,尽管较为罕见。
本病例为一名33岁女性,在稽留流产后行子宫吸刮术6天后,被诊断为Hvittingfoss血清型菌血症和子宫内膜炎。她在血培养和宫颈培养结果呈阳性前两周去过印度尼西亚。她从未出现胃肠道症状,但粪便样本中发现携带Hvittingfoss血清型。患者接受了为期7天的静脉注射环丙沙星治疗,治疗成功。
Hvittingfoss血清型较为罕见,在亚洲、美国和澳大利亚曾引发几起食源性感染疫情。据我们所知,这是该血清型引起泌尿生殖系统感染的首例报道病例。作为泌尿生殖系统感染的病因虽罕见但并非不常见。因此,在严重泌尿生殖系统感染病例中,尤其是其他培养结果均为阴性时,在识别泌尿生殖系统菌群中的成员时应考虑到这一血清型。