Group F Streptococcal Bacteremia Complicating a Bartholin's Abscess

[摘要] Background:Group F streptococci are Gram-positive cocci typically isolated from wound infections andabscesses. Bacteremia with group F streptococcus is uncommon, and the lower gynecologic tract has not beenreported 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 Fstreptococci. The patient was treated with ampicillin/sulbactam, symptoms improved, and follow-up bloodcultures 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 thegenitourinary tract but only very rarely in Bartholin's abscesses. This case of group F streptococcal bacteremiafollowing self-drainage of a Bartholin's abscess constitutes the first such description in the medical literature.

[学科分类] 妇产科学