Postpartum osteomyelitis caused by group B streptococcus

Article Abstract:

Infections of the uterus or bladder by group B streptococcal bacteria originating from the vagina may occur following obstetric delivery. Occasionally, the bacteria are transmitted to the newborn, with resulting systemic infection or osteomyelitis, infection of the bone marrow. A case is reported of an unusual case of postpartum group B streptococcal osteomyelitis in a 34-year-old woman. Her previous medical history and prenatal course and delivery were normal. However, a routine culture during delivery showed the presence of bacteria, and she developed pain at the site of episiotomy (incision during labor which prevents tears of the perineum, around the vaginal opening) three days after delivery, which resolved with medication. She had no fever, a symptom of systemic bacterial infection, but had pain in the left hip and buttock on the fourth day. By the seventh day, the patient could not raise her left leg, but examinations revealed no cause until she developed a fever. Antibiotics were begun, X-rays showed damage of the left hip, and the clear presence of bacteria could finally be demonstrated after these X-rays were taken. The patient began to improve after high doses of penicillin were given, but the hip continued to deteriorate. The patient eventually received a total hip replacement. Occurrence of group B streptococcal-related septic (infective) arthritis and osteomyelitis is very rare in adults; possibly the altered immune status of pregnancy may have contributed to development of the infection. The report indicates the potential for the spread of streptococcal bacteria from reproductive to other tissues following delivery. (Consumer Summary produced by Reliance Medical Information, Inc.)

Streptococcus agalactiae, Puerperal fever, Puerperal infection

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Effect of maternal docosahexanoic acid supplementation on postpartum depression and information processing

Article Abstract:

Docosahexaenoic acid (DHA) does not appear to prevent postpartum depression or positively affect information processing in women who have just had a baby, according to a study of 89 women. Women who took a DHA supplement after childbirth had higher blood levels of DHA compared to women who took a placebo, or inactive substance. However, the rate of postpartum depression and the ability to process information were similar in both groups.

Prevention, Physiological aspects, Postpartum depression

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Primary aldosteronism as a cause of severe postpartum hypertension in two women

Article Abstract:

Women who suddenly develop high blood pressure after childbirth may have primary aldosteronism. Two women with this hormonal disorder had normal blood pressure before and during pregnancy but became hypertensive after the pregnancy.

Hypertension, Causes of, Hyperaldosteronism

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