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柠檬酸杆菌感染的垂直传播。

Vertical transmission of a Citrobacter infection.

作者信息

Mastrobattista J M, Parisi V M

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Houston-Health Science Center 77030, USA.

出版信息

Am J Perinatol. 1997 Sep;14(8):465-7. doi: 10.1055/s-2007-994181.

DOI:10.1055/s-2007-994181
PMID:9376007
Abstract

Citrobacter species have rarely been described as-etiological factors of intraamniotic infections. Citrobacter is not a normal inhabitant of the female genital tract. Vertical transmission of Citrobacter from mother to fetus has rarely been reported. A 21-year-old primigravida presented to labor and delivery at 40 6/7 weeks' gestation complaining of ruptured membranes, painful uterine contractions, and fever. An intraamniotic infection was diagnosed and antibiotics begun. She was subsequently delivered of a live male infant. Mother and infant had positive cultures for Citrobacter and overwhelming sepsis. Citrobacter species are rarely described as etiological factors of intraamniotic infections, and vertical transmission has rarely been reported. This pathogen should be considered in cases of chorioamnionitis or maternal sepsis as overwhelming maternal and fetal infection are possible sequelae.

摘要

柠檬酸杆菌属很少被描述为羊膜腔内感染的病因。柠檬酸杆菌不是女性生殖道的正常寄居菌。柠檬酸杆菌从母亲垂直传播给胎儿的情况鲜有报道。一名21岁初产妇在妊娠40⁶/₇周时因胎膜破裂、子宫收缩疼痛和发热前来分娩。诊断为羊膜腔内感染并开始使用抗生素。随后她产下一名活男婴。母亲和婴儿的柠檬酸杆菌培养均呈阳性且发生了严重败血症。柠檬酸杆菌属很少被描述为羊膜腔内感染的病因,垂直传播也鲜有报道。在绒毛膜羊膜炎或产妇败血症病例中应考虑这种病原体,因为可能会导致严重的母婴感染后遗症。

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