Beer R J, Bradford W P, Hart R J
Br Med J (Clin Res Ed). 1982 Apr 17;284(6323):1156-7. doi: 10.1136/bmj.284.6323.1156.
Two cases of chlamydial infection in pregnant women are described, the first serologically proved and the second suspected. In both cases the infection was probably contracted from sheep suffering with enzootic abortion. Both patients were farmers' wives who had helped their husbands and lambing and developed a non-specific febrile illness in late pregnancy. In the first case as there was no clinical improvement after 26 hours the patient was delivered by caesarean section of a live infant in good condition; the patient recovered fully. The second patient had presented a year earlier, the fetus had died in the uterus, and the patient himself died after spontaneous labour and forceps delivery 14 hours after admission. Both patients developed disseminated intravascular coagulation. As the casual agent in enzootic abortion in ewes has a predilection for the placenta, early delivery may be the management of choice in late pregnancy if infection with this organism if suspected.
本文描述了两例孕妇衣原体感染病例，第一例经血清学证实，第二例为疑似病例。在这两例病例中，感染可能均源自患有地方流行性流产的绵羊。两名患者均为农民的妻子，她们曾协助丈夫进行接羔工作，并在妊娠晚期患上了非特异性发热疾病。在第一例病例中，由于26小时后病情未出现临床改善，遂对患者实施剖宫产，产出一名状况良好的活婴；患者完全康复。第二例患者一年前就诊，胎儿已死于子宫内，患者在入院14小时后自然分娩并使用产钳助产，随后死亡。两名患者均出现了弥散性血管内凝血。由于母羊地方流行性流产的病原体易侵袭胎盘，因此，如果怀疑孕妇感染了这种病原体，在妊娠晚期早期分娩可能是首选的治疗方法。
