Sheikh Salwa S, Amr Samir S, Lage Janice M
Dhahran Health Center, Pathology Services Division, Dhahran, Saudi Arabia.
Infect Dis Obstet Gynecol. 2005 Mar;13(1):49-52. doi: 10.1080/10647440400028177.
A 40-year-old woman, gravida 9, with seven healthy children and a history of one abortion (p 7 + 1), presented at 18 weeks of gestation with fever and malodorous vaginal discharge. Ultrasound revealed a macerated fetus. The placenta showed acute chorioamnionitis and acute villitis with microabscess formation. Blood and vaginal cultures both grew Klebsiella pneumoniae. This is the first reported case in English literature of Klebsiella pneumoniae causing suppurative placentitis leading to fetal demise.
一名40岁女性,孕9产,育有7名健康子女,有1次流产史(孕7产1),妊娠18周时出现发热及恶臭阴道分泌物。超声检查显示胎儿浸软。胎盘显示急性绒毛膜羊膜炎和急性绒毛炎,并形成微脓肿。血液和阴道培养均培养出肺炎克雷伯菌。这是英文文献中首例报道的由肺炎克雷伯菌引起化脓性胎盘炎导致胎儿死亡的病例。