Universität zu Köln

Hos, N. J., Bauer, C., Liebig, T., Plum, G., Seifert, H. and Hampl, J. (2015). Autoinfection as a cause of postpartum subdural empyema due to Mycoplasma hominis. Infection, 43 (2). S. 241 - 245. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1439-0973

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Abstract

Mycoplasma hominis is a commensal of the genitourinary tract, which is infrequently associated with urogenital infections. Extra-urogenital infections due to M. hominis are rare. Here, we report an unusual case of M. hominis subdural empyema in a woman occurring shortly after delivery. The patient presented with symptoms suggestive of bacterial meningitis. Spinal imaging revealed a subdural empyema that required neurosurgical intervention. Cultures from intraoperatively obtained biopsies identified M. hominis as the causative pathogen. The patient was treated with oral moxifloxacin for 4 weeks resulting in the resolution of the spinal lesion. The subdural empyema was presumably caused by a contaminated epidural blood patch performed with the patient's own blood during an episode of transient M. hominis bacteremia after delivery. The blood patch was indicated for the treatment of cerebrospinal fluid leakage, which had occurred after epidural anesthesia. Our findings highlight the significance of transient M. hominis bacteremia after delivery and implicate that M. hominis should be considered as a causative agent of extra-genitourinary tract infections particularly during the postpartum period or after genitourinary manipulation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Hos, N. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bauer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Liebig, T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Plum, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Seifert, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hampl, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-408289
DOI:	10.1007/s15010-014-0713-2
Journal or Publication Title:	Infection
Volume:	43
Number:	2
Page Range:	S. 241 - 245
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1439-0973
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language UREAPLASMA-UREALYTICUM; INFECTIONS; TETRACYCLINES; ADULTS; MACROLIDES; RISK Multiple languages Infectious Diseases Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/40828