title: Recurrent Streptococcus pyogenes genital infection in a woman: test and treat the partner!
abstract: Group A Streptococcus (GAS) is a well-known cause of vulvovaginitis in prepubescent girls, but it is rarely described in adult women. We describe the case of a 64-year-old woman who presented with endometritis revealed by GAS bacteraemia, followed by recurrent vulvovaginitis due to a wild-type strain of GAS. She relapsed twice despite amoxicillin treatment. Her husband was found to be an asymptomatic carrier after GAS was identified in nasal and rectal swabs. She was cured after eradication of carriage in both herself and her husband with amoxicillin and rifampin. When recurrent Streptococcus pyogenes genital infections occur, test and treat the partner.
authors.affiliation: Assistance Publique - Hôpitaux de Paris, Infectious and Tropical Diseases Department, Hôpital Pitié-Salpêtrière, 83 boulevard de l'Hôpital, 75013, Paris, France; UPMC Université Paris 6, Paris, France. Electronic address: verkaeren_emilienne@yahoo.fr.
authors.forename: Emilienne
authors.initials: E
authors.lastname: Verkaeren
authors.affiliation: Assistance Publique - Hôpitaux de Paris, Infectious and Tropical Diseases Department, Hôpital Pitié-Salpêtrière, 83 boulevard de l'Hôpital, 75013, Paris, France; UPMC Université Paris 6, Paris, France.
authors.forename: Loïc
authors.initials: L
authors.lastname: Epelboin
authors.affiliation: Assistance Publique - Hôpitaux de Paris, Gynaecology, Obstetrics and Assisted Reproductive Techniques Department, Hôpital Bichat-Claude-Bernard, France.
authors.forename: Sylvie
authors.initials: S
authors.lastname: Epelboin
authors.affiliation: Assistance Publique - Hôpitaux de Paris, Radiology Department, Hôpital Necker-Enfants Malades, Paris, France.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Boddaert
authors.affiliation: UPMC Université Paris 6, Paris, France; Assistance Publique - Hôpitaux de Paris, Laboratory of Bacteriology, Hôpital Pitié-Salpêtrière, Paris, France.
authors.forename: Florence
authors.initials: F
authors.lastname: Brossier
authors.affiliation: Assistance Publique - Hôpitaux de Paris, Infectious and Tropical Diseases Department, Hôpital Pitié-Salpêtrière, 83 boulevard de l'Hôpital, 75013, Paris, France; UPMC Université Paris 6, Paris, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Caumes
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D012008:Recurrence; D012747:Sexual Partners; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology; D013297:Streptococcus pyogenes; D014848:Vulvovaginitis / Q000175:diagnosis* / Q000188:drug therapy* / Q000382:microbiology
keywords: Antibiotic prophylaxis; Asymptomatic diseases; Bacteraemia; Streptococcus pyogenes; Vaginitis