Bartholin's abscess: the role of Chlamydia trachomatis.

Bleker, O. P.; Smalbraak, D J C; Schutte, M.

doi:10.1136/sti.66.1.24

Cited by 13 publications

(6 citation statements)

References 6 publications

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“…Although most cases in our series were due to single agent infections, polymicrobial abscesses caused by aerobes and anaerobes were common. N. gonorrhoea and C. trachomatis have been reported in earlier studies (Davies et al 1978;Ress 1967;Bleker et al 1990) to be major infective agents in abscesses of the Bartholin's glands. Although we did not find any cases, we continue to obtain cervical and urethral swabs from young women who present with Bartholin's abscess, in order to actively exclude these important sexually transmitted organisms.…”

Section: Discussionmentioning

confidence: 93%

Microbiology of cysts/abscesses of Bartholin's gland: Review of empirical antibiotic therapy against microbial culture

Bhide¹,

Nama²,

Patel

et al. 2010

Journal of Obstetrics and Gynaecology

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Bartholin's glands are prone to obstruction at their opening into the vestibule, forming cysts which could be infected to become gland abscess. In our unit, treatment of Bartholin's abscess is usually surgical. In addition to surgical treatment, antimicrobial agents are often administered before microbial culture results are known. In this study, we aimed to determine the most common pathogens in Bartholin's glands abscess in our local population so that empiric antimicrobial therapy, if required, could be correctly directed. Among the 78 cases reviewed, there was positive microbial culture in 73.9%. Bartholin's abscess was commonly caused by opportunistic organisms, either as single agents or polymicrobial infections. Aerobic organisms were the commonest with coliforms being the most common bacteria. No cases of N. gonorrhoea or C. trachomatis were encountered. Flucloxacillin as a single agent was the most frequently prescribed antibiotic. Poly-pharmacy was common practice. It was concluded that whether adjuvant antibiotic therapy is necessary following surgical treatment of Bartholin's abscess is still controversial. Where antibiotics are required, the optimal initial therapy is not known. As poly-microbial infections are common, a broad spectrum agent like co-amoxiclav may be suitable for empirical treatment until culture results are known.

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Section: Discussionmentioning

confidence: 93%

Microbiology of cysts/abscesses of Bartholin's gland: Review of empirical antibiotic therapy against microbial culture

Bhide¹,

Nama²,

Patel

et al. 2010

Journal of Obstetrics and Gynaecology

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“…or anaerobic bacteria). Neisseria gonorrhoeae and Chlamydia trachomatis are of limited aetiologic importance as causes of Bartholin’s duct abscess [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Bartholinitis due to Aggregatibacter aphrophilus: a case report

Choquet¹,

Pluquet²,

Castelain³

et al. 2016

BMC Infect Dis

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Background Aggregatibacter aphrophilus, a commensal of the oro-pharyngeal flora and member of the HACEK group of organisms, is an uncommonly encountered clinical pathogen. It has already been described as the causative agent of brain abscesses, empyema, meningitis, sinusitis, otitis media, bacteriemia, pneumonia, osteomyelitis, peritonitis, endocarditis and wound infections. Herein we report the first case of bartholinitis due to A. aphrophilus. Case presentationA 33-year-old woman was admitted for a 3-day genital pain without fever and urinary functional signs. The abscess was incised and drained; A. aphrophilus was the only micro-organism that grew from the pus. The patient received no antibiotics; the clinical course was favourable.ConclusionThis case highlights the importance of an effective treatment of recurrent bartholinitis such as a cold resection of the gland. It is presented for its rarity.

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“…6 Although the initial site of infection is usually the cervix, the urethra and rectum may also be infected. 7 The prevalence of C. trachomatis infection in pregnant women ranges from 2 to 35%. 8 Pregnant women with chlamydial infections are at increased risk for adverse outcomes of pregnancy, and postpartum PID.…”

Section: Clinical Manifestationsmentioning

confidence: 99%