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| Year : 1987 | Volume
: 33
| Issue : 1 | Page : 34 |
Hydrosalpinx due to Rodotorula glutinis (a case report).
Gogate AA, Deodhar LL, Gogate SS
How to cite this article:
Gogate A A, Deodhar L L, Gogate S S. Hydrosalpinx due to Rodotorula glutinis (a case report). J Postgrad Med 1987;33:34 |
Despite the fact that vulvovaginitis is by far the most common Candida infection, its basic pathophysiology is incompletely understood. The initiation of apparent and progressive disease seems to depend on certain local and systemic alterations in the host, like pregnancy and diabetes mellitus. To illustrate this, we are reporting a case of pelvic infection with bilateral hydrosalpinx caused by a rare species Rodotorula glutinis.
A 24 year old female patient coming from a remote village in Uttar Pradesh, India, had one home delivery followed by 2 missed abortions at 3 months. She presented with complaints of chronic vaginal discharge and secondary infertility. There was no history of tuberculosis.
On clinical examination, there was a vague cystic swelling adherant to the right side of the uterus. Speculum examination showed low grade vulvovaginitis and small erosion on the cervix. Vaginal swab was collected. The premenstrual laparoscopy showed congested uterus with a moderate-sized thin walled hydrosalpinx on the right side, measuring 3" x 2½", which contained 160 ml straw coloured fluid. The left tube also showed a small terminal hydrosalpinx. Both the tubes were found to be blocked at the cornual opening. Microbiological studies revealed yeast cells and pus cells in the vaginal swab but yeast cells could not be seen, in Gram staining of the fluid from hydrosalpinx. The samples were also examined for gonococci, and other aerobic and anaerobic bacteria, Trichomonas, mycoplasmas and Chlamydia but they were culture and smear negative. On culturing the samples on Sabouraud's dextrose agar and incubating at room temperature (25-28#176c) for 3-4 days, they showed orange coloured opaque, nonmucoid but smooth colonies. These were identified as Rodotorula glutinis as it did not show, pseudo or true hyphae, chlamydospores or germ tube formation. It showed urease activity and KNO3 reduction. Glucose, sucrose, maltose, trehalose, galactose, xylose and raffinose were assimilated whereas lactose, inositol, dulcitol and cellobiose were not.
For animal pathogenicity test, white mice were inoculated which did not show any changes upto 20 days.
Probably pathophysiology involved in this case could be the chronic low grade vulvovaginitis which was persistent due to poor hygiene and lack of medication. This infection may have ascended at the time of delivery which was conducted at home without aseptic precautions. This might have been responsible for missed abortions and in turn pelvic infection with bilateral hydrosalpinx.
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