Chudacoff R M, Taylor R R
Department of Obstetrics and Gynecology, Uniformed Services University of the Health Sciences, National Naval Medical Center, Bethesda, Maryland, USA.
J Reprod Med. 1995 Sep;40(9):649-51.
Single-agent causes of pelvic inflammatory disease (PID) are uncommon. Streptococcus pneumoniae, as the suspected sole causative bacterium, has been reported since the 1800s. In the postantibiotic era, 46 cases have been reported, with a high mortality rate.
We report a case of S pneumoniae as a single bacterial etiology of PID. This single bacterial species was documented by separate cervicovaginal, culdocentesis and laparoscopic cultures.
It is unusual to identify an uncommon, single organism as the causative bacterial species in PID in an immunocompetent patient without evidence of a primary infectious pneumococcal source.
