Vaginal mesh infection due to Bacteroides melaninogenicus: a case report of another emerging foreign body related infection.
We present a case of a 29-y-old woman with rectocele, cystocele, and uterine prolapse who developed a vaginal infection after the placement of a macroporous polypropylene vaginal mesh. Bacteroides melaninogenicus was isolated from the area of the infection. The exposed parts of the mesh were removed and she received treatment with metronidazole and doxycycline. No recurrence of the infection was noted during 12 months of follow-up. However, the patient continued to avoid intercourse due to severe dyspareunia. Vaginal mesh-related infections represent an emerging type of infection that may complicate reconstructive surgery in patients with pelvic organ prolapse.
Athanasiou
Stavros
S
Alfa Institute of Biomedical Sciences, Athens, Greece.
Matthaiou
Dimitrios K
DK
Falagas
Matthew E
ME
D000328:Adult; D016866:Bacteroidaceae Infections / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D005260:Female; D005547:Foreign Bodies / Q000382:microbiology*; D006801:Humans; D001443:Prevotella melaninogenica / Q000302:isolation & purification*; D013526:Surgical Mesh / Q000009:adverse effects / Q000382:microbiology*; D014596:Uterine Prolapse / Q000601:surgery*