An Emerging Trend of Anaerobes: Porphyromonas Levii Causing Necrotic Vulvo Vaginitis. A Case Report

Abstract

Prophyromonas levii is a gram negative anaerobic rod. It is non-motile chemoorganotroph bacteria. It was previously included in the genus named Bacteroides, but non on molecular basis, 16S rRNA studies it belongs to genus porphyromonas. Porphyromonas levii also isolated from female vagina also consider as normal vaginal flora. It can cause brain abscess, otitis media, mastoiditis, chronic osteomylitis and bacterial vaginosis in human. In our case a 13 years old girl was admitted in a tertiary care hospital with yellow foul smelling vaginal discharge, itching, and abdominal pain. After bacterial culture the anaerobic organism is identified as Porphromonas levii. Porphyromonas levii have caused Vulvo vaginitis which reflects that rare pathogen can also capable of causing of this disease. This also highlights the importance of culture and sensitivity in management of diseases. In our society the importance of culture and sensitivity should be highlighted, as well as the microbiology laboratory should be standardized, well equipped and well trained staff. Porphyromonas levii is an anaerobic bacteria and required strict anaerobic condition and technical skills to be cultivated, this can only be possible if Microbiology laboratory in our community are standardized, and else we would be missing the diagnosis of this emerging pathogen