История болезни гинекологии и акушерства Открытый доступ

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Chorioamnionitis and Sepsis in Pregnant Woman with Vaginal Prolapse of Intact Amniotic Membranes; Maternal and Fetal Outcome: A Case Report

Petruzziello L, Scudo M, Logoteta A*, Galli V, Mondo A, Di Pinto A, Piccioni MG, Monti M, Galoppi P and Brunelli R

Aim: To describe chorioamnionitis and sepsis caused by uncommon germs. Case report: This is case of a healthy 28-year old woman, 23 weeks pregnant, who has been admitted to our Hospital for risk of preterm delivery due to cervical incontinence with vaginal prolapse of intact amniotic membranes. Results: The amniotic fluid was positive for Citrobacter freundii. Blood cultures were positive for Citrobacter braaki and Morganella morganii. Conclusion: These findings indicate that ascension from the lower genital tract could be the primary pathway for intra-amniotic infection. It could be useful to collect a sample of the amniotic fluid and or a blood culture, and administer timely a broad spectrum antibiotic therapy to prevent sepsis.