Emergent genital infection by Leptotrichia trevisanii

Abstract

We report the first case of an association between Leptotrichia trevisanii and an episode of pelvic inflammatory disease (PID) and the second case of the isolation of this infection in the cervical canal. A 45-yr-old woman was admitted to our emergency department with clinical and radiological signs and symptoms compatible with an episode of PID. She was hospitalized for intravenous antibiotic control and treatment and the subsequent surgical drainage of abscesses. Cultures were taken throughout the process, but only cultures from cervical canal exudate were positive, with the growth of L. trevisanii species. It appears important to carry out a complete microbiological screening, not limited to conventional agents, on adequate clinical samples to detect possible infectious agents that may be missed in these cases.

Emerging Presence of Culturable Microorganisms in Clinical Samples of the Genitourinary System: Systematic Review and Experience in Specialized Care of a Regional Hospital

“…The isolate of Alloscardovia omnicolens detected was not susceptible to metronidazole or moxifloxacin, as previously reported [ 21 , 22 ]. Leptotrichia can be part of the oral microbiota, and immunosuppression or vaginal mucosal erosion can be predisposing factors for disease after translocation, and it is usually resistant to moxifloxacin [ 23 , 24 ]. Finally, N. meningitidis has been isolated in the ge-nital tract as a cause of urethritis and is commonly susceptible to most studied antibiotics, including amoxicillin, ceftriaxone, and doxycycline [ 25 ], although resistance to penicillin and ampicillin was observed in the present study.…”

Pelvic inflammatory disease by Streptococcus constellatus. Clinical experience and a review

“…Además, citomegalovirus y M. genitalium también pueden asociarse con algunos casos de EPI. Independientemente del agente causal inicial del cuadro a la hora de enfocar el tratamiento de la EPI se debe considerar como una infección polimicrobiana, salvo determinadas circunstancias con microorganismos específicos [25,26].…”