洗牙和口交后发生绒毛膜羊膜炎。
Chorioamnionitis after Dental Scaling and Oral Sex.
作者信息
Hosseini Boshra Sara, Hunt Jennifer
机构信息
Department of Obstetrics, Gynaecology and Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
出版信息
Case Rep Obstet Gynecol. 2020 Nov 2;2020:9251731. doi: 10.1155/2020/9251731. eCollection 2020.
BACKGROUND
Oral sex is postulated to be a risk factor for the introduction of bacteria into the amniotic cavity. Common oropharyngeal bacteria have been implicated in reports of second trimester chorioamnionitis via ascending vaginal transmission following oral sex. Dental scaling can also introduce these pathogens into the blood stream, allowing hematogenous spread of oral pathogens to the fetoplacental unit in pregnant patients.
CASE
We report a case of chorioamnionitis at 21 weeks and 5 days' gestation in a patient whose only risk factors were recent dental scaling and recent oral sex with a partner known to have periodontal disease.
CONCLUSION
Bacterial chorioamnionitis should be considered in the differential diagnosis of preterm labour. Oral sex and dental procedures may be risk factors for chorioamnionitis.
背景
口交被认为是细菌进入羊膜腔的一个风险因素。在关于孕中期绒毛膜羊膜炎的报告中，常见的口咽细菌通过口交后经阴道上行传播而被牵连。洗牙也可将这些病原体引入血流，使口腔病原体通过血行播散至妊娠患者的胎儿 - 胎盘单位。
病例
我们报告一例妊娠21周零5天发生绒毛膜羊膜炎的病例，该患者唯一的风险因素是近期洗牙以及近期与一名已知患有牙周病的性伴侣进行口交。
结论
在早产的鉴别诊断中应考虑细菌性绒毛膜羊膜炎。口交和牙科操作可能是绒毛膜羊膜炎的风险因素。
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