Abstract
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 β-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.
Highlights
Group F streptococci are Gram-positive cocci typically isolated from wound infections and abscesses
We report a case of group F streptococcal bacteremia following self-drainage of a Bartholin’s abscess
Blood cultures grew b-hemolytic group F streptococcus within 24 h
Summary
Group F streptococci are Gram-positive cocci typically isolated from wound infections and abscesses. Conclusion: Group F streptococci are known to inhabit various body sites and have a predilection for forming abscesses; 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. Thirty minutes after vigorously expressing purulent, bloody, maladorous fluid from the mass, she noted the onset of fever and rigors and presented to the Emergency Department The patient reported her last menstrual period to be 3 weeks prior to presentation and denied use of tampons.
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