Post-operative vaginal cuff Peptostreptococcus infection

Post-operative vaginal cuff *Peptostreptococcus* infection is a localized surgical site infection of the vaginal apex occurring after a total or radical hysterectomy

Post-operative vaginal cuff *Peptostreptococcus* infection is a localized surgical site infection of the vaginal apex occurring after a total or radical hysterectomy

It is characterized by bacterial colonization and tissue invasion by *Peptostreptococcus* species, which are anaerobic Gram-positive cocci indigenous to the female lower genital tract flora

It is characterized by bacterial colonization and tissue invasion by *Peptostreptococcus* species, which are anaerobic Gram-positive cocci indigenous to the female lower genital tract flora

Pathophysiologically, the breach in mucosal integrity during surgical resection of the cervix allows these opportunistic anaerobes to proliferate within the sutured retroperitoneal space and surrounding pelvic soft tissues Affected patients typically present with cuff cellulitis or pelvic collection, manifesting clinically with lower pelvic pain, fever, localized erythema or induration, and purulent or malodorous vaginal discharge

Affected patients typically present with cuff cellulitis or pelvic collection, manifesting clinically with lower pelvic pain, fever, localized erythema or induration, and purulent or malodorous vaginal discharge

Affected patients typically present with cuff cellulitis or pelvic collection, manifesting clinically with lower pelvic pain, fever, localized erythema or induration, and purulent or malodorous vaginal discharge