Inguinal syndrome secondary to Prevotella bivia after accidental bite in orogenital sex
- Marc Sagristà1,
- Gemma Martin-Ezquerra1,
- Fernando Gallardo1,
- Estela Membrilla2,
- Alexander Jose Salazar2,
- Margarita Salvadó3,
- Julià Gómez3,
- Ramon M Pujol1
- 1Department of Dermatology, Sexually Transmitted Infections Unit, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
- 2Department of General Surgery, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain
- 3Department of Medical Microbiology, Laboratorio de Referencia de Cataluña, Barcelona, Spain
- Correspondence to Marc Sagristà, Department of Dermatology, Sexually Transmitted Infections Unit, Hospital del Mar, Parc de Salut Mar, Passeig Marítim 25-29 Barcelona 08003, Spain;
Contributors All authors included on a paper have participated in the conception and design, or analysis and interpretation of data, drafting the article or revising it critically for important intellectual content and final approval of the version to be published. All these conditions must all be met. Participation solely in the acquisition of funding or the collection of data does not justify authorship. MSG, GME, FG and RMP wrote the manuscript; EM and AS were involved in the care of the patient and the manuscript review; MS and JG were responsible for the microbiological studies and the microbiological references of the text.
- Accepted 31 December 2011
- Published Online First 28 February 2012
The authors report a case of an inguinal bubo in a young man caused by an anaerobe, Prevotella bivia, which was acquired during oral sexual intercourse. As far as the authors know, this is the first reported case of a sexually transmitted infection by Prevotella. Prevotella spp. inhabit the oral cavity and are highly prevalent in bacterial vaginosis, a polymicrobial syndrome resulting from replacement of the normal vaginal Lactobacillus spp. flora by high concentrations of anaerobic microorganisms such as Prevotella spp., Mobiluncus spp., Gardnerella vaginalis and other uncultivated anaerobes.
- Inguinal bubo
- anaerobe sexually transmitted infections
- human bite
- oral sex
- infectious diseases
- chlamydia infection
- genital ulcers
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.