Abstract
We report the first case of an association between Leptotrichia trevisanii and an episode of pelvic inflammatory disease (PID) and the second case of the isolation of this infection in the cervical canal. A 45-yr-old woman was admitted to our emergency department with clinical and radiological signs and symptoms compatible with an episode of PID. She was hospitalized for intravenous antibiotic control and treatment and the subsequent surgical drainage of abscesses. Cultures were taken throughout the process, but only cultures from cervical canal exudate were positive, with the growth of L. trevisanii species. It appears important to carry out a complete microbiological screening, not limited to conventional agents, on adequate clinical samples to detect possible infectious agents that may be missed in these cases.
Similar content being viewed by others
References
Eribe ER, Paster BJ, Caugant DA, Dewhirst FE, Stromberg VK, Lacy GH, Olsen I. Genetic diversity of Leptotrichia and description of Leptotrichia goodfellowii sp. nov., Leptotrichia hofstadii sp. nov., Leptotrichia shahii sp. nov. and Leptotrichia wadei sp. nov. Int J Syst Evol Microbiol. 2004;54:583–92.
Eribe ERK, Olsen I. Leptotrichia species in human infections. Anaerobe. 2008;14:131–7.
Eribe ERK, Olsen I. Leptotrichia and Leptotrichia-like organisms. In: Liu D, editor. Molecular detection of human bacterial pathogens. Section III. Bacteroidetes, Chlamydiae, and Fusobacteria, Chap. 49. London: CRC Press; 2011. pp. 555–66.
Kumagai J, Takiguchi Y, Shono K, Suruga Y, Akiba Y, Yamamoto K, Terano T. Acute myelogenous leukemia with Leptotrichia trevisanii bacteremia. Intern Med. 2013;52:2573–6.
Woo PC, Wong SS, Teng JL, Leung KW, Ngan AH, Zhao DQ, Tse H, Lau SK, Yuen KY. Leptotrichia hongkongensis sp. nov., a novel Leptotrichia species with the oral cavity as its natural reservoir. J Zhejiang Univ Sci B. 2010;11:391–401.
Tee W, Midolo P, Janssen PH, Kerr T, Dyall-Smith ML. Bacteremia due to Leptotrichia trevisanii sp. nov. Eur J Clin Microbiol Infect Dis. 2001;20:765–9.
Gupta RS, Sethi M. Phylogeny and molecular signatures for the phylum Fusobacteria and its distinct subclades. Anaerobe. 2014;28:182–98.
Shah HN, Olsen I, Bernard K, Finegold SM, Gharbia S, Gupta RS. Approaches to the study of the systematics of anaerobic, gram-negative, non-spore forming rods: current status and perspectives. Anaerobe. 2009;15:179–94.
Schrimsher JM, McGuirk JP, Hinthorn DR. Leptotrichia trevisanii sepsis after bone marrow transplantation. Emerg Infect Dis. 2013;19:1690–1.
Higurashi Y, Tatsuno K, Fujimoto F, Kobayashi I, Ida K, Seto Y, Ohkusu K, Ezaki T, Okugawa S, Moriya K. Two cases of bacteremia caused by Leptotrichia trevisanii in patients with febrile neutropenia. J Infect Chemother. 2013;19:1181–4.
Martín-Gutierrez G, Rodrıguez N, Lepe JA, Parody R, Torres MJ, Aznar J. Rapid identification of a Leptotrichia trevisanii catheter-related bloodstream infection using matrix assisted laser desorption/ionization time-of-flight mass spectrometry. JMM Case Rep. 2015. https://doi.org/10.1099/jmmcr.0.000036.
Sabater Cabrera C, Fernández Blázquez A, García Carús E. Bacteremia due to Leptotrichia trevisanii after an allogeneic bone marrow transplant. Enferm Infect Microbiol Clin. 2016. https://doi.org/10.1016/j.eimc.2016.09.010.
Cho EH, Park KS, Yang M, Song DJ, Huh HJ, Ki CS, Lee NY. Laboratory identification of Leptotrichia species isolated from bacteremia patients at a single institution. Ann Lab Med. 2017;37:272–6.
Fontanals D, García-Miralles C, Ballester R, Cochs B, Orellana R, Capilla S. Chorioamnionitis due to Leptotrichia trevisanii. Anaerobe. 2018;49:18–20.
Beigi RH, Wiesenfeld HC. Pelvic inflammatory disease: new diagnostic criteria and treatment. Obstet Gynecol Clin North Am. 2003;30:777–93.
Sexually Transmited diseases treatment guidelines 2015. Centers for disease control and prevention. MMWR Recomm Rep. 2015;51:1–78.
Ruviére DB, Leonardo MR, Da Silva LAB, Ito IY, Nelson-Filho P. Assessment of the microbiota in root canals of human primary teeth by checkerboard DNA-DNA hybridization. J Dent Child (Chic). 2007;74:118–23.
Eribe ERK, Olsen I. Leptotrichia species in human infections II. J Oral Microbiol. 2017;9:3–21.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical statement
The study protocol was carried out in accordance with the Declaration of Helsinki. This was a non-interventional study with no additional investigation to routine procedures. Biological material was only used for infection standard diagnostics following physicians’ prescriptions. No additional sampling or modification of the routine sampling protocol was performed. Data analyses were carried out using an anonymous database. For these reasons, ethics committee approval was considered unnecessary according to national guidelines. The Infectious Diseases and Clinical Microbiology Clinical Management Unit of the University Hospital Virgen de las Nieves of Granada (Spain) granted permission to access and use the data.
Conflict of interest
None.
Rights and permissions
About this article
Cite this article
Mora-Palma, J.C., Rodríguez-Oliver, A.J., Navarro-Marí, J.M. et al. Emergent genital infection by Leptotrichia trevisanii. Infection 47, 111–114 (2019). https://doi.org/10.1007/s15010-018-1175-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s15010-018-1175-8