Gardnerella Vaginalis Bacteremia in a Pregnant Woman with Vaginal Myomectomy

Clin Lab. 2024 Mar 1;70(3). doi: 10.7754/Clin.Lab.2023.231005.

Abstract

Background: This case involves a 28-year-old pregnant woman (39w+2) who was admitted to obstetrics due to abdominal tightness and bacteremia with Gardnerella vaginalis which developed after caesarean section and vaginal myomectomy.

Methods: A blood culture was performed, and the bacteria were identified through mass spectrometry.

Results: Mass spectrometry data indicated that the infection bacteria were Gardnerella vaginalis. The patient's temperature returned to normal after oral ampicillin in combination with clindamycin.

Conclusions: Gardnerella vaginalis bacteremia is very rare in clinical practice, and the combination of ampicillin and clindamycin has a good therapeutic effect. This study may provide a reference for the diagnosis and treatment of Gardnerella vaginalis bacteremia.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Ampicillin / therapeutic use
  • Bacteremia* / diagnosis
  • Bacteremia* / drug therapy
  • Bacteremia* / microbiology
  • Cesarean Section / adverse effects
  • Clindamycin / therapeutic use
  • Female
  • Gardnerella vaginalis
  • Humans
  • Pregnancy
  • Pregnant Women
  • Uterine Myomectomy*
  • Vagina
  • Vaginosis, Bacterial* / drug therapy

Substances

  • Clindamycin
  • Ampicillin