Blood Cultures Following Rectal Examination

Abstract

Ovarian carcinoma presenting as a vaginal lesion is an unusual finding and may cause the clinician consid¬ erable concern since it is not part of the differential diagnosis of a vaginal neoplasm. While biopsy and physical examination may suggest the ovary as the primary site, celiotomy is still required for definitive diagnosis and as part of the therapy.

Inherited nongenetic influences on the gut microbiome and immune system

“…Indeed, bacterial vaginosis has been associated with the presence of bacteria in utero and preterm delivery (Gravett, Hummel, Eschenbach, & Holmes, ; Hillier et al, ). Bacteria originating from the oral cavity and gut may disseminate and colonize the fetus as bacteremia occurs following oral procedures, teeth brushing, minor manipulations of the lower gastrointestinal tract, and potentially even bowel movements (Hoffman, Kobasa, & Kaye, ; Lockhart et al, ; Maharaj, Coovadia, & Vayej, ; Slavin & Goldwyn, ; Tandberg & Reed, ). While these sporadic events might be sufficient to expose the fetus to microbes, this alone is insufficient to explain why pregnancy is associated with increased incidence of bacteremia (Perez et al, ).…”