Bacterial vaginosis in pregnant women in the Ecuadorian highlands: Clinical case report
DOI:
https://doi.org/10.35381/s.v.v9i18.4663Keywords:
bacterial vaginosis, pregnancy, vaginal infections, (Source: DeCS).Abstract
Objective: To describe a clinical case of bacterial vaginosis in a 36-week pregnant woman in the Ecuadorian highlands. Case presentation: A 24-year-old woman, primigravida at 36 weeks according to ultrasound, consulted for moderate hypogastric pain and whitish vaginal discharge that had been present for four weeks. Physical examination revealed greyish discharge without malodour and a closed posterior cervix. Laboratory tests ruled out urinary tract infection. Differential diagnosis established the diagnosis of bacterial vaginosis. Management and evolution: Treatment was initiated with 100mg clindamycin plus 200mg miconazole in daily vaginal ovules for seven days, supplemented with probiotics and analgesia. The patient progressed satisfactorily with resolution of symptoms. Conclusions: Bacterial vaginosis is a common clinical entity during pregnancy that requires timely diagnosis and appropriate treatment to prevent maternal-foetal complications.
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References
Ang XY, Roslan NS, Ahmad N, Yusof SM, Abdullah N, Nik Ab Rahman NN, Woon JJ, Teh CS, Todorov SD, Liu G, Liong MT. Lactobacillus probiotics restore vaginal and gut microbiota of pregnant women with vaginal candidiasis. Benef Microbes. 2023;14(5):421-431. https://doi.org/10.1163/18762891-20220103
Calderón J, Vega G, Velázquez J, Morales R, Vega AJ. Factores de riesgo materno asociados al parto pretérmino. Revista Médica del IMSS. 2005;43:339-342. https://n9.cl/kqxp3
Kalinderi K, Delkos D, Kalinderis M. Urinary tract infections during pregnancy: current concepts in a multifaceted common problem. J Obstet Gynaecol. 2018;38(4):448-453. https://doi.org/10.1080/01443615.2017.1370579
Oh KY, Lee S, Lee MS, Lee MJ, Shim E, Hwang YH, Ha JG, Yang YS, Hwang IT, Park JS. Composition of Vaginal Microbiota in Pregnant Women With Aerobic Vaginitis. Front Cell Infect Microbiol. 2021;11:677648. https://doi.org/10.3389/fcimb.2021.677648
Oh KY, Lee S, Park J, Park MH, Jeong JH, Yang JB, Lim CK, Ha JG, Yang YS. Vaginal microbiota of pregnant women with Ureaplasma urealyticum and Mycoplasma hominis infections. Front Cell Infect Microbiol. 2024;14:1445300. https://doi.org/10.3389/fcimb.2024.1445300
García DL, Estrada JL, Proenza L. Vaginal infection in pregnant women and its influence on perinatal morbidity and mortality. Multimed. 2017;21(2). https://n9.cl/lnxvc
Escalona W, Pérez FA, Rodríguez S, Cruz BM, Tomás E. Some epidemiologically relevant variables related to vaginal sepsis. Rev Electrón Dr Zoilo E Marinello Vidaurreta. 2013;38(1). https://n9.cl/fuynd9
Miranda AJ, Hernández LL, Romero C. Vaginal infection in pregnant women and its incidence in selected indicators of the Maternal and Child Program. Rev Cubana Med Gen Integr. 2010;26(2):291-300. https://n9.cl/rfuhb9
Hernández ID, Montes de Oca M, Causa N, Ruiz MD, González D. Clinical-epidemiological characterization of neonates admitted for early-onset sepsis. Multimed. 2016;20(4). https://n9.cl/6hnwv4
Landívar GA, Linda S, Luna HA. Incidence of vaginal infections in pregnant women attending the outpatient clinic of Hospital General Guasmo Sur from September 2018--February 2019. Recimundo. 2022;6(1):232-239. https://n9.cl/tyw6f
Celik E, Ozcan G, Vatansever C, Paerhati E, Kuşkucu MA, Dogan O, Cekic SG, Ergonul O, Gürsoy A, Keskin Ö, Can F. Alterations in vaginal microbiota among pregnant women with COVID-19. J Med Virol. 2023;95(1):e28132. https://doi.org/10.1002/jmv.28132
Mizgier M, Jarzabek-Bielecka G, Mruczyk K, Kedzia W. The role of diet and probiotics in prevention and treatment of bacterial vaginosis and vulvovaginal candidiasis in adolescent girls and non-pregnant women. Ginekol Pol. 2020;91(7):412-416. https://doi.org/10.5603/gp.2020.0070
Duarte G, Linhares IM, Kreitchmann R, Tristão ADR, Traina E, Canti I, Takimura M, Andrade JQ. Vulvovaginitis in pregnant women. Rev Bras Ginecol Obstet. 2024;46:e-FPS03. https://doi.org/10.61622/rbgo/2024fps03
Yang S, Reid G, Challis JRG, Gloor GB, Asztalos E, Money D, Seney S, Bocking AD. Effect of oral probiotic Lactobacillus rhamnosus GR-1 and Lactobacillus reuteri RC-14 on the vaginal microbiota, cytokines and chemokines in pregnant women. Nutrients. 2020;12(2):368. https://doi.org/10.3390/nu12020368
Menichini D, Chiossi G, Monari F, De Seta F, Facchinetti F. Supplementation of probiotics in pregnant women targeting Group B Streptococcus colonization: a systematic review and meta-analysis. Nutrients. 2022;14(21):4520. https://doi.org/10.3390/nu14214520
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