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Case Reports
. 2020 Jun 18:21:e00876.
doi: 10.1016/j.idcr.2020.e00876. eCollection 2020.

Septic shock caused by Gardnerella vaginalis and Atopobium vaginae

Affiliations
Case Reports

Septic shock caused by Gardnerella vaginalis and Atopobium vaginae

Pauline Taillandier et al. IDCases. .

Abstract

Although bacterial vaginosis is the most common and benign vaginal infection worldwide, some cases of severe acute infections have been described in the literature. We report the case of a 57-year-old French female who developed a life-threatening postoperative peritonitis after a total hysterectomy with adnexectomy in the context of the removal of leiomyosarcoma. The microbiological analysis of the peritoneal fluid identified Gardnerella vaginalis and Atobopium vaginae. The final diagnosis was a septic shock induced by an early onset peritonitis caused by Gardnerella vaginalis and Atobopium vaginae. The normal flora of the genital area could lead to a serious life threatening postoperative infection and should always be in the differential diagnosis.

Keywords: Atopobium vaginae; Bacterial vaginosis; Gardnerella vaginalis; Postoperative infection; Postoperative peritonitis; Septic shock.

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Conflict of interest statement

Authors are no conflicts of interest to declare.

References

    1. Muzny C.A., Schwebke J.R. Pathogenesis of bacterial vaginosis: discussion of current hypotheses. J Infect Dis. 2016;214(Suppl 1):S1–5. - PMC - PubMed
    1. Ferris M.J., Masztal A., Aldridge K.E., Fortenberry J.D., Fidel P.L., Martin D.H. Association of Atopobium vaginae, a recently described metronidazole resistant anaerobe, with bacterial vaginosis. BMC Infect Dis. 2004;4:5. - PMC - PubMed
    1. Schwebke J.R., Muzny C.A., Josey W.E. Role of Gardnerella vaginalis in the pathogenesis of bacterial vaginosis: a conceptual model. J Infect Dis. 2014;210(3):338–343. - PubMed
    1. Collège National des Gynécologues et Obstétriciens Français; 2005. Vaginose Bactérienne; p. 513. 34(5)
    1. Dawson S.G., Ison C.A., Csonka G., Easmon C.S. Male carriage of Gardnerella vaginalis. Br J Vener Dis. 1982;58(4):243–245. - PMC - PubMed

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