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[伤寒与妊娠]

[Typhoid fever and pregnancy].

作者信息

Carles G, Montoya Y, Seve B, Rakotofananina T, Largeaud M, Mignot V

机构信息

Service de Gynécologie Obstétrique, Guyane, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2002 Sep;31(5):495-9.

Abstract

Typhoid fever is rare in Europe, but well-recognized endemic disease in tropical zones. We report our findings in a series of 25 cases of typhoid fever during pregnancy observed in French Guiana and reviewed the literature on clinical signs, diagnosis and treatment. Salmonellea typhi causes septicemia of digestive origin that can cross the placenta resulting in chorioamniotitis. Maternal-fetal infection with S. typhi can lead to miscarriage, fetal death, neonatal infection, as well as diverse maternal complications. In order to avoid maternal complications and possible fetal transmission, treatment with ceftriaxone should be initiated as early as possible

摘要

伤寒热在欧洲罕见,但在热带地区是一种广为人知的地方病。我们报告了在法属圭亚那观察到的一系列25例妊娠期伤寒热病例的研究结果,并回顾了有关临床症状、诊断和治疗的文献。伤寒沙门氏菌引起源于消化系统的败血症,可穿过胎盘导致绒毛膜羊膜炎。伤寒沙门氏菌母婴感染可导致流产、胎儿死亡、新生儿感染以及多种母体并发症。为避免母体并发症和可能的胎儿传播,应尽早开始使用头孢曲松进行治疗。

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