Uterine cervical ulceration caused by group C streptococcal infection during pregnancy: A case report. Issue 8 (9th May 2019)

• Record Type: Journal Article
• Authors: Yoon, Soonna; Tsubouchi, Hiroaki; Tsunehiro, Azusa; Ohyagi, Chifumi; Fukuda, Aya; Tsutsui, Tateki
• Is Part Of: Journal of obstetrics and gynaecology research. Volume 45:Issue 8(2019)
• Page Start: 1593
• Page End: 1596
• Publication Date: 2019-05-09
• Subjects: cervix uteri -- infection -- pregnancy -- streptococcus -- ulcer; Gynecology -- Periodicals; Obstetrics -- Periodicals; 618.1005
• DOI: 10.1111/jog.14000
• Languages: English
• ISSNs: 1341-8076

Abstract

Abstract: Causes of cervical ulceration include infection, collagen disease, malignant tumors and external stimuli. Cervical ulceration during pregnancy is rare. We present a case of cervical ulceration caused by group C streptococcal infection during pregnancy. A 36‐year‐old woman (gravida 1, para 0) complained of metrorrhagia, and a circular cervical ulcer of about 1.5 cm in diameter was detected on her cervix at 37 weeks' gestation. A biopsy and a cultivation test of the ulcer were performed, and pathological diagnosis was made as suppurative inflammation, and group C streptococcal infection was detected by the cultivation test. The ulcer had expanded to about 3 cm in diameter at the onset of labor at 40 weeks' gestation. An emergency cesarean section was performed because of failed induction of labor, and she was delivered of a male baby. The ulcer became gradually smaller after delivery, and completely disappeared on the 35th day after delivery.