Donate Now
Post New Topic  Post A Reply
my profile | directory login | search | faq | forum home

  next oldest topic   next newest topic
» Got Questions? Get Answers. » EXPERT ADVICE » Ask Scarleteen » Group B strep infection

 - UBBFriend: Email this page to someone!    
Author Topic: Group B strep infection
polyprotic
Activist
Member # 45568

Icon 1 posted      Profile for polyprotic     Send New Private Message       Edit/Delete Post   Reply With Quote 
Hey ST,

I came down with a UTI and vaginal infection about a day after I had vaginal and oral sex with my partner. Eventually it led to my urethra swelling to the point of it causing urinary retention. I also had a decently high fever. At that point I went to the doctor and was put on emperic Cipro antibiotic and Difflucan. Four days later the cultures came back positive for a Group B Strep infection. The nurse couldn't tell me why I had such a terrible infection from a normal bacteria (I learned about it as a normal flora of the GU tract in microbiology). She also couldn't tell me what to do about the still ongoing infection or whether there was a risk of sepsis.

Well, I did some internet sleuthing and found out some pretty scary stuff. According to a few reputable sites, a group B strep infection can cause endocarditis, sepsis, and bacterial meningitis. All horribly scary complications. Two sites even said that the infection has a very high mortality rate, even with early treatment. One said that the prognosis was good for people promptly put on antibiotics.

Does anyone here know about this kind of infection in young, healthy, and non-pregnant people? Or just help me sort through some of the information on the web? Unfortunately my doctor doesn't seem to know anything about it and is unwilling to help me find what I need to know.

I'm pretty sure everything will resolve itself without any of those nasty possibilities, but I just want to be informed here.

[ 07-19-2011, 01:39 AM: Message edited by: polyprotic ]

Posts: 97 | From: USA | Registered: Jan 2010  |  IP: Logged | Report this post to a Moderator
KittenGoddess
Scarleteen Volunteer
Member # 1679

Icon 1 posted      Profile for KittenGoddess     Send New Private Message       Edit/Delete Post   Reply With Quote 
Group B strep is actually pretty common. It's present in something like 15-45% of healthy women (generally in the intestine, vagina, or rectal area). In most cases, it's not a serious problem. The scary stuff you've seen listed as complications are the things that are not the norm. They are the less common occurrences. I've never seen anything to indicate that in healthy adults it has a high mortality rate. (In adults with chronic health conditions it can be more problematic, but that's for folks with already compromised immune systems or other issues.)

--------------------
Sarah Liz

Posts: 7316 | From: USA | Registered: Oct 2000  |  IP: Logged | Report this post to a Moderator
polyprotic
Activist
Member # 45568

Icon 1 posted      Profile for polyprotic     Send New Private Message       Edit/Delete Post   Reply With Quote 
I'm aware that it's common as a normal human flora. 15-45% of the population is colonized with the bacteria, rather than infected, which there is a big difference. Strep B is, indeed, an opportunistic pathogen, meaning that it is uncommon for healthy people to develop an infection with symptoms, which is the case here.

It's kind of like saying that staph (another opportunistic pathogen) is present in a certain percentage of the healthy population, therefore it's common. But we all know staph can be trouble when they do have the chance to infect an open wound. Again, uncommon but not unheard of and not without danger in healthy people.

My question was regarding when it already has become a big problem, what are the odds that it can go from bad to worse. This is where I can't find information.

Just quoting one of the more bleak sources here:

"infection is extremely rare in healthy individuals and is almost always associated with underlying abnormalities. Among published series, diabetes mellitus and malignancy are consistently the most common underlying diseases associated with infection."

"Primary group B streptococcal bacteremia without an obvious source is a common presentation in adults. While one series suggests that group B streptococcal bacteremia is low-grade and easily controlled with little morbidity, other authors suggest that the clinical presentation may be that of classic sepsis with shock and may carry a high mortality. Sustained bacteremia may indicate endocarditis or an infected catheter. Group B streptococci can cause acute destructive endocarditis, which may require emergency valve replacement.

Urinary tract infections are a common manifestation of group B streptococcal disease and are observed in both pregnant and nonpregnant adults. Other presentations of group B streptococcal infection include pneumonia, skin and soft-tissue infections, septic arthritis, osteomyelitis, meningitis, peritonitis, and endo-ophthalmitis. "

http://emedicine.medscape.com/article/229091-overview#showall

[ 07-20-2011, 01:12 AM: Message edited by: polyprotic ]

Posts: 97 | From: USA | Registered: Jan 2010  |  IP: Logged | Report this post to a Moderator
   

Quick Reply
Message:

HTML is not enabled.
UBB Code™ is enabled.
UBB Code™ Images not permitted.
Instant Graemlins
   


Post New Topic  Post A Reply Close Topic   Feature Topic   Move Topic   Delete Topic next oldest topic   next newest topic
 - Printer-friendly view of this topic
Hop To:


Contact Us | Get the Whole Story! Go Home to SCARLETEEN: Sex Ed for the Real World | Privacy Statement

Copyright 1998, 2014 Heather Corinna/Scarleteen
Scarleteen.com: Providing comprehensive sex education online to teens and young adults worldwide since 1998

Information on this site is provided for educational purposes. It is not meant to and cannot substitute for advice or care provided by an in-person medical professional. The information contained herein is not meant to be used to diagnose or treat a health problem or disease, or for prescribing any medication. You should always consult your own healthcare provider if you have a health problem or medical condition.

Powered by UBB.classic™ 6.7.3

Google
Search Scarleteen