Dische M R, Quinn P A, Czegledy-Nagy E, Sturgess J M
Am J Clin Pathol. 1979 Aug;72(2):167-74. doi: 10.1093/ajcp/72.2.167.
Mycoplasma infection was present in the fetuses from three spontaneous abortions and in one second-trimester newborn. Gross examination revealed in most cases a severely infected placenta and membranes, with a fetus of normal appearance. The fetal infection presumably followed placental involvement and appeared to have been acquired shortly prior to delivery. Genital mycoplasmas, Ureaplasma urealyticum or Mycoplasma hominis, were isolated from the placentas and the fetal tissues, and from the genital tracts of the mothers. Isolation of mycoplasmas from the liver indicated that bloodstream dissemination of these organisms occurred in the fetus. In the fetus, the pathologic changes were variable. Lesions were identified in the lung by scanning electron microscopy of the bronchial tree in two cases and were accompanied by interstitial pneumonia. An abnormally dilated left ventricle suggestive of cardiomyopathy was observed in one case.
在三例自然流产胎儿及一例孕中期新生儿中发现支原体感染。大体检查显示，多数情况下胎盘和胎膜严重感染，而胎儿外观正常。胎儿感染推测是胎盘受累后发生的，且似乎是在分娩前不久获得的。从胎盘、胎儿组织以及母亲的生殖道中分离出了生殖支原体、解脲脲原体或人型支原体。从肝脏中分离出支原体表明这些微生物在胎儿体内发生了血行播散。在胎儿中，病理变化各不相同。通过对两例支气管树进行扫描电子显微镜检查，在肺中发现了病变，并伴有间质性肺炎。在一例中观察到左心室异常扩张，提示存在心肌病。
