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Infectious Diseases in Obstetrics and Gynecology
Volume 9, Issue 1, Pages 55-57
http://dx.doi.org/10.1155/S1064744901000102

Group F Streptococcal Bacteremia Complicating a Bartholin's Abscess

1Department of Medicine, Brooke Army Medical Center, Texas, USA
2Infectious Disease Service, Brooke Army Medical Center, Fort Sam Houston, Texas, USA
3Brooke Army Medical Center, Attn. MCHE-MD, 3851 Roger Brooke Drive, Fort Sam Houston, 78234-6200, TX, USA

Received 18 July 2000; Accepted 17 November 2000

Copyright © 2001 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.