Baka S, Spathi A, Tsouma I, Kouskouni E
Department of Biopathology, Aretaieion University Hospital, Athens, Greece.
Clin Exp Obstet Gynecol. 2013;40(1):116-7.
This report describes a case of urinary tract infection (UTI) due to Shigella sonnei during pregnancy.
A 31-year-old pregnant woman was admitted complaining of left-flank tenderness, dysuria, and fever.
Following examination, significant laboratory data were collected including increased leukocyte count (10,800/ul with 86% neutrophils) and C-reactive protein (9.6 mg/dl). Urinalysis revealed 30 to 50 leukocytes per high power field while from the quantitative urine culture Shigella sonnei was recovered after 24 h incubation at 37 degrees C. After a two-week course with 750 mg cefuroxime every 8 h, the patient experienced gradual resolution of all symptoms and urinary cultures were negative two weeks and one month, respectively, after completing the therapy. The gestational course was uneventful and the patient delivered a healthy baby girl at term.
Shigella sonnei can be responsible for UTI during pregnancy even when no predisposing factors or an apparent source of infection can be identified.
本报告描述了一例孕期感染宋内志贺菌所致的尿路感染（UTI）病例。
一名31岁孕妇因左侧胁腹压痛、排尿困难及发热入院。
检查后收集到重要实验室数据，包括白细胞计数增加（10,800/微升，中性粒细胞86%）及C反应蛋白（9.6毫克/分升）。尿液分析显示每高倍视野有30至50个白细胞，定量尿培养在37℃孵育24小时后培养出宋内志贺菌。在接受为期两周、每8小时服用750毫克头孢呋辛的疗程后，患者所有症状逐渐缓解，完成治疗后两周及一个月的尿培养结果均为阴性。孕期过程顺利，患者足月产下一名健康女婴。
即使未发现易感因素或明显感染源，宋内志贺菌也可导致孕期尿路感染。
