Diagnosis and management of acute puerperal bartholinitis caused by Escherichia coli. Helena Lucia Barroso dos Reis. Carla Renata Petillo de Pinho. Bartolinitis is Infections of the Bartholin gland or bartolinitis can also cause swelling of the external female genitalia. Typically, the swelling is accompanied by. mydial bartholinitis has not been thoroughly stud- ied. Unusual etiologic agents causing bartholinitis, and even septic shock arising from Bartholin’s duct abscess .

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Clinical Pathology of Bartholin’s Glands: A Review of the Literature

Diagnosis and management of acute puerperal bartholinitis caused by Escherichia coli. She underwent regular cytology exams, including cervical and vaginal samples that showed no atypia.

Clinical evaluation also remained unchanged. The test for Streptococcus agalactiae in the 37 th gestational week was negative.


This primiparous patient underwent a cesarean section due to cephalo-pelvic disproportion 15 days prior to abscess drainage of the Bartholin’s gland on the left side, which characterized a clinical case of acute bartholinitiis. The onset of this condition was an extremely painful tumor in the genital area five days after delivery.

It was clinically detected as local redness, which started to bulge and then progressed to fluctuation abscess Figures A and B. Other possible differential diagnostic hypotheses were Skene duct cysts, which are rare; epidermal inclusion cyst; and papillary hidradenoma, among other Bartholin’s gland benign lesions. Abscess drainage was performed, and purulent secretion material was collected for culture, which evidenced growth of Escherichia coli.

Oral antibiotic therapy mg cephalexin was prescribed every six hours for seven days. Remission of the Bartholin abscess at the end of the antibiotic therapy was observed.

During the 5-year clinical follow-up in the gynecology assistance program up to now recurrence was not observed. Management of Bartholin’s duct cyst and gland abscess.


Am Fam Physician ; Case report and a review of literature.

Ann Ital Chir ; 84 ePub: Management of Bartholin duct cysts and abscesses: Obstet Gynecol Surv ; Helena Lucia Barroso dos Reis. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Services on Demand Journal. Images In Infectious Diseases Diagnosis and management of acute puerperal bartholinitis caused by Escherichia coli. July 11, ; Accepted: How to cite this article.