title: Streptococcus viridans intra-amniotic infection associated with antecedent cunnilingus.
abstract: Introduction of bacteria into the amniotic cavity has been associated with oral sex through an ascending infectious route. Previous reports have implicated both Capnocytophaga and Fusobacterium nucleatum via this process. We report a case of Streptococcus viridans intra-amniotic infection occurring at 25 weeks' gestation. Patient questioning revealed a close temporal relationship between the onset of symptoms and previous episodes of cunnilingus. The diagnosis of subclinical bacterial colonization of the amniotic fluid should be considered in patients presenting with preterm labour and no apparent aetiology. A history of recent cunnilingus may be associated with the presence of Streptococcus viridans in the amniotic fluid.
authors.affiliation: Department of Obstetrics and Gynecology, Naval Medical Center, Portsmouth, VA 23708-2197, United States of America.
authors.forename: R B
authors.initials: RB
authors.lastname: Gherman
authors.forename: J
authors.initials: J
authors.lastname: Browning
authors.forename: J
authors.initials: J
authors.lastname: Tramont
authors.forename: M K
authors.initials: MK
authors.lastname: Eggleston
mesh_terms: D000328:Adult; D000653:Amniotic Fluid / Q000382:microbiology*; D005260:Female; D006801:Humans; D008278:Magnesium Sulfate / Q000627:therapeutic use; D007752:Obstetric Labor, Premature / Q000517:prevention & control; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology*; D012725:Sexual Behavior; D015231:Sexually Transmitted Diseases, Bacterial; D013290:Streptococcal Infections / Q000635:transmission; D015149:Tocolytic Agents / Q000627:therapeutic use
chemical_list: D015149:Tocolytic Agents; D008278:Magnesium Sulfate