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Postpartum osteomyelitis caused by group B streptococcus

  • K. Berkowitz
    Correspondence
    Reprint requests: K. Berkowitz, MD, Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, Sloane Hospital for Women, 622 W. 168th St., New York, NY 10032.
    Affiliations
    New York, New York

    From the Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, Sloane Hospital for Women.
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  • R. McCaffrey
    Affiliations
    New York, New York

    From the Department of Obstetrics and Gynecology, Columbia Presbyterian Medical Center, Sloane Hospital for Women.
    Search for articles by this author
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      Postpartum infections caused by group B streptococci are generally limited in scope. We report a case of vaginal colonization with group B streptococcus that progressed in the postpartum period to osteomyelitis that necessitated total hip replacement. The patient had no risk factors predisposing to streptococcal osteomyelitis. An altered immune status in pregnancy and intrapartum bacteremia may be involved in the pathogenesis of this infection.

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