Clin Lab. 2024 Mar 1;70(3). doi: 10.7754/Clin.Lab.2023.231005.
This case involves a 28-year-old pregnant woman (39w+2) who was admitted to obstetrics due to abdominal tightness and bacteremia with Gardnerella vaginalis which developed after caesarean section and vaginal myomectomy.
A blood culture was performed, and the bacteria were identified through mass spectrometry.
Mass spectrometry data indicated that the infection bacteria were Gardnerella vaginalis. The patient's temperature returned to normal after oral ampicillin in combination with clindamycin.
Gardnerella vaginalis bacteremia is very rare in clinical practice, and the combination of ampicillin and clindamycin has a good therapeutic effect. This study may provide a reference for the diagnosis and treatment of Gardnerella vaginalis bacteremia.
本病例涉及一位 28 岁孕妇(39w+2),因剖宫产和阴道子宫肌瘤切除术后出现腹部紧、加德纳菌血症而入住产科。
进行血培养,通过质谱鉴定细菌。
质谱数据表明感染细菌为加德纳菌。患者口服氨苄西林联合克林霉素后体温恢复正常。
临床实践中加德纳菌血症非常罕见,氨苄西林联合克林霉素具有良好的治疗效果。本研究可为加德纳菌血症的诊断和治疗提供参考。