1887

Abstract

Introduction:

is associated with genito-urinary tract infection and adverse pregnancy outcomes. However, whether the species is a true pathogen or part of the genito-urinary tracts natural flora remains unclear.

Case presentation:

A 41-year-old pregnant woman was admitted to our hospital at 38 weeks and 5 days of gestation owing to premature rupture of the membranes. The patient delivered by caesarean section. Subsequently, the patient complained of lower abdominal pain and had persistent fever. Enhanced computed tomography revealed pelvic abscesses. Gram staining of pus from the abscess and vaginal secretions indicated presence of polymorphonuclear leucocytes but no pathogens. Cultures on blood agar showed growth of pinpoint-sized colonies in an anaerobic environment within 48 h. Although administration of carbapenem and metronidazole was ineffective and we could not fully drain the abscess, administration of clindamycin led to clinical improvement. The isolates 16S rRNA gene and gene sequences exhibited identity with those of

Conclusion:

Physicians should consider in cases of pelvic abscesses where Gram staining yields negative results, small colonies are isolated from the abscess and treatment with β-lactam antibiotics is ineffective.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.005059
2016-07-11
2019-12-05
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/3/4/jmmcr005059.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.005059&mimeType=html&fmt=ahah

References

  1. Abdel-Haq N., Asmar B., Brown W.. 2002; Mycoplasma hominis scalp abscess in the newborn. Pediatr Infect Dis J21:1171–1173 [CrossRef][PubMed]
    [Google Scholar]
  2. Barberá J., Gasser I., Almirante B., Pigrau C.. 1995; Postpartum retroperitoneal abscess due to Mycoplasma hominis. Clin Infect Dis21:698–699 [CrossRef][PubMed]
    [Google Scholar]
  3. Camara B., Mouzin M., Ribes D., Esposito L., Guitard J., Game X., Durand D., Rostaing L., Kamar N.. 2007; Perihepatitis and perinephric abscess due to Mycoplasma hominis in a kidney transplant patient. Exp Clin Tranplant5:708–709
    [Google Scholar]
  4. Capoccia R., Greub G., Baud D.. 2013; Ureaplasma urealyticum, Mycoplasma hominis and adverse pregnancy outcomes. Curr Opin Infect Dis26:231–240 [CrossRef][PubMed]
    [Google Scholar]
  5. Férandon C., Peuchant O., Janis C., Benard A., Renaudin H., Pereyre S., Bébéar C.. 2011; Development of a real-time PCR targeting the yidC gene for the detection of Mycoplasma hominis and comparison with quantitative culture. Clin Microbiol Infect17:155–159 [CrossRef][PubMed]
    [Google Scholar]
  6. Kennedy K. J., Prince S., Makeham T.. 2009; Mycoplasma hominis-associated parapharyngeal abscess following acute Epstein-Barr virus infection in a previously immunocompetent adult. J Clin Microbiol47:3050–3052 [CrossRef][PubMed]
    [Google Scholar]
  7. Koshiba H., Koshiba A., Daimon Y., Noguchi T., Iwasaku K., Kitawaki J.. 2010; Hematoma and abscess formation caused by Mycoplasma hominis following cesarean section. Int J Womens Health3:15–18
    [Google Scholar]
  8. Muin D. A., Takes M. T., Hösli I., Lapaire O.. 2015; Severe pelvic abscess formation following caesarean section. BMJ Case Rep2015:bcr2014208628 [CrossRef][PubMed]
    [Google Scholar]
  9. Pailhoriès H., Rabier V., Eveillard M., Mahaza C., Joly-Guillou M. L., Chennebault J. M., Kempf M., Lemarié C.. 2014; A case report of Mycoplasma hominis brain abscess identified by MALDI-TOF mass spectrometry. Int J Infect Dis29:166–168 [CrossRef][PubMed]
    [Google Scholar]
  10. Sasaki T., Nishiyam T., Shintani M., Kenri T.. 1997; Evaluation of a new method for identification of bacteria based on sequence homology of 16S rRNA gene. PDA J Pharm Sci Tech51:242–247
    [Google Scholar]
  11. Taylor-Robinson D., Lamont R. F.. 2011; Mycoplasmas in pregnancy. BJOG118:164–174 [CrossRef][PubMed]
    [Google Scholar]
  12. Yamaguchi M., Kikuchi A., Ohkusu K., Akashi M., Sasahara J., Takakuwa K., Tanaka K.. 2009; Abscess formation due to Mycoplasma hominis infection after cesarean section. J Obstet Gynaecol Res35:593–596 [CrossRef][PubMed]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.005059
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.005059
Loading

Data & Media loading...

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error