胎膜完整的大肠杆菌性绒毛膜羊膜炎患者并发胎盘植入
Placenta Accreta in a Woman with Escherichia coli Chorioamnionitis with Intact Membranes.
作者信息
Montelongo Emma M, Blue Nathan R, Lee Richard H
机构信息
Department of Obstetrics and Gynecology, LAC+USC Medical Center, University of Southern California, 1200 N. State Street, IPT C3F107, Los Angeles, CA 90033, USA.
出版信息
Case Rep Obstet Gynecol. 2015;2015:121864. doi: 10.1155/2015/121864. Epub 2015 Dec 27.
Abstract
Background. Escherichia coli (E. coli) associated intrauterine infections with intact membranes are extremely rare. Case. A 30-year-old multiparous female presented at 26 weeks' gestation with clinical signs of chorioamnionitis but physical examination suggested intact membranes. Her dietary history was concerned with Listeriosis. An amniocentesis was performed. Shortly thereafter, the mother developed septic shock and an urgent Cesarean delivery was performed. The patient required a peripartum hysterectomy for placenta accreta. Amniotic fluid cultures grew E. coli.
摘要
背景。大肠杆菌（E. coli）相关的胎膜完整的宫内感染极为罕见。病例。一名30岁经产妇在妊娠26周时出现绒毛膜羊膜炎的临床症状，但体格检查提示胎膜完整。她的饮食史与李斯特菌病有关。进行了羊膜腔穿刺术。此后不久，母亲发生感染性休克，紧急进行了剖宫产。患者因胎盘植入需要在围产期行子宫切除术。羊水培养出大肠杆菌。
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