Pyovagina and sepsis due to <i>Streptococcus didelphis</i> in a Virginia opossum

Virginia opossums (<i>Didelphis virginiana</i>) are the only native marsupials in the United States of America and Canada. Females have a reproductive tract consisting of a complex duplex (bifurcated) reproductive system, with 2 ovaries, 2 uteri and uterine tubes, and a vaginal complex composed of 2 lateral vaginae, vaginal sinuses, and a urogenital sinus. Few conditions of the reproductive tract have been described in these marsupials. A 2-y-old, female Virginia opossum was presented because of hematuria and was found dead shortly after admission. The autopsy revealed left lateral vaginal torsion and pyovagina. <i>Streptococcus didelphis</i> was isolated and identified from the lateral vaginal exudate, blood, and liver using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS). Histologic examination confirmed suppurative and lymphoplasmacytic vaginitis, endometritis, cystitis, pyelonephritis and interstitial nephritis, portal hepatitis with fibrosis, myocarditis, and adrenalitis with intralesional gram-positive cocci. These results suggest ascending <i>S. didelphis</i> infection of the lateral vagina with subsequent torsion, bacterial translocation, bacteremia, and sepsis as the cause of death.