Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 12, Number 4, April 2021, pages 134-137

Gardnerella vaginalis Is a Rare Cause of Ventilator-Associated Pneumonia: A Case Report and Literature Review


Table 1. Characteristics of Bronchopulmonary Infections Caused by Gardnerella vaginalis
Year/referenceAgeSexClinical contextClinical presentationCulture sitesMeans of microbiological diagnosisCulture resultsAntibiotics
BAL: bronchoalveolar lavage; MALDI-TOF: matrix assisted laser desorption/ionization time of flight; NA: data not available; PDBS: protected distal bronchial sampling; VAP: ventilator-associated pneumonia.
1989 [6]41 years oldMClouding of consciousness following a brawl; inhalation pneumoniaBronchopneumopathy complicated by bacteremia and pulmonary abscessBronchoscopy aspirations; blood; pleural fluidBACTEC automated incubator and hemoline diphasic mediumGardnerella vaginalis; Streptococcus milleri; Neisseria sicca; Hemophilus parainfluenzae and other anerobic germsCeftazidime; penicillin; minocycline + metronidazole; clindamycine + ampicilline + minocycline; chloramphenicol in the pleural space
2019 [7]20 years oldMMultiple gunshot wounds; posterior fossa intracerebral hemorrhage and hydrocephalus; suboccipital craniectomy; postoperative stridorBronchopneumopathy complicated by pulmonary abscessMin-BALNAGardnerella vaginalis; coagulase-negative staphylococcus; Hemophilus influenzaeVancomycin + piperacillin/tazobactam; ampicillin-sulbactam + fluconazole; vancomycin + cefepime; ceftriaxone + metronidazole
202045 years oldMCardiorespiratory arrest; post-anoxic encephalopathy; inhalation pneumonia.VAPPDBSMALDI-TOFG. vaginalis 104 CFU/mL; Staphylococcus aureus and Hafnia alvei 102 CFU/mLAmoxicillin-clavulanic acid; cefotaxime + metronidazole