Sendi, Parham; Moser Schaub, Eva Maria; Nirgianakis, Konstantinos; Hathaway, Lucy J; Bittel, Pascal; Goldblatt, David; Streit, Sven (2017). An uncommon site of Streptococcus pneumoniae colonization leading to recurrent pneumococcal disease. Open Forum Infectious Diseases, 4(1), ofw257. Oxford University Press 10.1093/ofid/ofw257
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Abstract
This report describes a case of relapsing pneumococcal peritonitis. The postulated source of infection was vaginal colonization and secondary adherence of pneumococci to an intrauterine contraceptive device. After immunization with a conjugate pneumococcal vaccine, the patient demonstrated protective antibody levels and remained infection free at the 2-year follow-up investigation.