Chonnam Med J.  2015 Apr;51(1):47-49. 10.4068/cmj.2015.51.1.47.

Successful Delivery Following Staphylococcus aureus Bacteremia after In Vitro Fertilization and Embryo Transfer

Affiliations
  • 1Department of Internal Medicine, Chosun University School of Medicine, Gwangju, Korea. shine@chosun.ac.kr
  • 2Department of Obstetrics and Gynecology, Chosun University School of Medicine, Gwangju, Korea.

Abstract

A 30-year-old, 16-week primipara woman visited with complaints of lower back pain over the past 3 weeks. She had a history of ultrasound-guided transvaginal oocyte retrieval for in vitro fertilization (IVF) 14 weeks earlier. Lumbar spine magnetic resonance imaging showed infectious spondylitis and the results of blood and spinal biopsy cultures showed Staphylococcus aureus. Intravenous cefazolin was continued for 6 weeks, and 4 months later, she delivered a healthy girl. This is the first reported case of successful term delivery following S. aureus bacteremia with vertebral osteomyelitis after IVF and embryo transfer. It should be considered that S. aureus bacteremia can be a serious complication of IVF.

Keyword

Staphylococcus aureus; Fertilization in vitro; Spondylitis; Pregnancy

MeSH Terms

Adult
Bacteremia*
Biopsy
Cefazolin
Embryo Transfer*
Female
Fertilization in Vitro*
Humans
Low Back Pain
Magnetic Resonance Imaging
Oocyte Retrieval
Osteomyelitis
Pregnancy
Spine
Spondylitis
Staphylococcus aureus*
Cefazolin

Figure

  • FIG. 1 Lumbar spine magnetic resonance imaging (MRI) on admission Sagittal T2-weighted image showing high signal intensity of the second and third lumbar vertebrae.


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