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2018, vol. 5, br. 2, str. 654-660
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Tranzitorna bakterijemija prouzrokovana Atopobium-om vaginae nakon carskog reza - prikaz slučaja
Transient bacteremia caused by Atopobium vaginae after caesarean delivery: Case report
aKlinički centar Srbije, Služba za mikrobilogiju, Beograd bKlinički centar Srbije, Klinika za ginekologiju i akušerstvo, Beograd cKlinički centar Srbije, Centar za medicinsku biohemiju, Beograd
e-adresa: slobodanka.stefanovic@gmail.com
Sažetak
Uvod: Genitalni mikrobiom žene je i do danas zagonetka. Sastoji se od velikog broja različitih bakterijskih vrsta i fenotipova koji čine normalnu genitalnu floru, dok u slučajevima njene promene dolazi do predominacije određenih, posebno anaerobnih vrsta, što je slučaj kod bakterijske vaginoze. Ove vrste su uglavnom retki izazivači invanzivnih infekcija, ali pod određenim uslovima mogu dovesti do težih infekcija, kako viših delova genitalnih puteva, tako i do neželjenog ishoda u trudnoći. Prikaz slučaja: U ovom radu je prikazan izuzetno redak slučaj tranzitorne bakterijemije izazvane vrstom Atopobium vaginae kod pacijentkinje posle carskog reza gde je empirijska terapija dala pozitivan učinak i pacijentkinja oporavljena otpuštena kući sa svojim zdravim novorođenčetom. Zaključak: Tokom kliničkog rada treba misliti na različite anaerobne vrste, kao što je Atopobium vaginae, koji su prisutni u mikrobiomu genitalnih puteva žena i prilagoditi empirijsku terapiju, što je ovde bio slučaj.
Abstract
Introduction: Genital microbiome of woman is still a puzzle to this day. It consists of a large number of different bacterial species and phenotypes that make up the normal genital flora, while in the cases of its change there is a predominance of certain, especially anaerobic species, which is the case with bacterial vaginosis. These types are mostly rare causing invasive infections, but under certain conditions can lead to severe infections, such as multiple parts of the genital tract, and to an unwanted outcome in the pregnancy. Case report: This paper presents an extremely rare case of transient bacteremia caused by Atopobium vaginae type in a patient following a cesarean section where empirical therapy gave a positive effect and the patient recovered and released home with healthy newborn. Conclusions: During the clinical work it is important to be aware of the different anaerobic species present in the genital tract of women microbiome like Atopobium vaginae and should adjust the empirical therapy, which was the case here.
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