TY - JOUR
T1 - Vaginorectal streptococcus porcinus in pregnancy
T2 - An emerging pathogen?
AU - Pereira, Nigel
AU - Powell, Anna M.
AU - Nyirjesy, Paul
AU - Plante, Lauren A.
PY - 2013/10
Y1 - 2013/10
N2 - OBJECTIVE: Streptococcus porcinus has previously been isolated from the genitourinary tract of reproductive-aged women. However, very little is known about the pathogenicity of this microorganism in pregnancy. The study aimed to report pregnancies complicated by vaginorectal S. porcinus and associated adverse outcomes. MATERIALS AND METHODS: We present 2 patients with 3 pregnancies complicated by vaginorectal S. porcinus and preterm cervical change. RESULTS: The first patient lost a twin pregnancy to previable preterm rupture of membranes. During her subsequent pregnancy, again positive for S. porcinus, cervical shortening prompted antibiotic treatment and cerclage. The second patient delivered preterm despite cerclage placed for sonographic indications. CONCLUSIONS: Our cases suggest that S. porcinus may contribute to the pathogenesis of preterm rupture of membranes and cervical insufficiency.
AB - OBJECTIVE: Streptococcus porcinus has previously been isolated from the genitourinary tract of reproductive-aged women. However, very little is known about the pathogenicity of this microorganism in pregnancy. The study aimed to report pregnancies complicated by vaginorectal S. porcinus and associated adverse outcomes. MATERIALS AND METHODS: We present 2 patients with 3 pregnancies complicated by vaginorectal S. porcinus and preterm cervical change. RESULTS: The first patient lost a twin pregnancy to previable preterm rupture of membranes. During her subsequent pregnancy, again positive for S. porcinus, cervical shortening prompted antibiotic treatment and cerclage. The second patient delivered preterm despite cerclage placed for sonographic indications. CONCLUSIONS: Our cases suggest that S. porcinus may contribute to the pathogenesis of preterm rupture of membranes and cervical insufficiency.
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U2 - 10.1097/LGT.0b013e318280407c
DO - 10.1097/LGT.0b013e318280407c
M3 - Article
C2 - 23595037
AN - SCOPUS:84885292205
SN - 1089-2591
VL - 17
SP - e18-e21
JO - Journal of Lower Genital Tract Disease
JF - Journal of Lower Genital Tract Disease
IS - 4
ER -