Streptococcus bovis bacteremia and fetal death

BACKGROUND: Preterm premature rupture of membranes leading to intraamniotic infection and fetal death may be due to unusual bacterial species. CASE: A young multipara presented at 24 weeks and 6 days’ gestation with rupture of membranes of 2 days’ duration. She was febrile and hypotensive. No fetal...

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Veröffentlicht in:Obstetrics and gynecology (New York. 1953) 2002-11, Vol.100 (5), p.1126-1129
Hauptverfasser: White, Benjamin A, Labhsetwar, S.A, Mian, Alec N
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container_end_page 1129
container_issue 5
container_start_page 1126
container_title Obstetrics and gynecology (New York. 1953)
container_volume 100
creator White, Benjamin A
Labhsetwar, S.A
Mian, Alec N
description BACKGROUND: Preterm premature rupture of membranes leading to intraamniotic infection and fetal death may be due to unusual bacterial species. CASE: A young multipara presented at 24 weeks and 6 days’ gestation with rupture of membranes of 2 days’ duration. She was febrile and hypotensive. No fetal heart activity was noted. Antibiotics, fluid resuscitation, and oxytocin were begun with delivery of a 798-g stillborn fetus. Maternal and fetal cultures demonstrated Streptococcus bovis as the infectious agent. CONCLUSION: Unusual bacteria such as S bovis are sometimes responsible for severe maternal and fetal infections. Aggressive fluid resuscitation, uterine evacuation, and triple antibiotic therapy until culture results are available are indicated.
doi_str_mv 10.1016/S0029-7844(02)02206-8
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subjects Adult
Bacteremia - microbiology
Biological and medical sciences
Diseases of mother, fetus and pregnancy
Female
Fetal Death - microbiology
Fetal Membranes, Premature Rupture - microbiology
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Pregnancy
Pregnancy Complications, Infectious
Pregnancy. Fetus. Placenta
Shock, Septic - microbiology
Streptococcal Infections
Streptococcus bovis
title Streptococcus bovis bacteremia and fetal death
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