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Fulminant Sepsis and Perinatal Death at 23 Weeks Due to Fusobacterium nucleatum.
Bonasoni, Maria Paola; Comitini, Giuseppina; Pati, Mariangela; Bardaro, Marcellino; Russello, Giuseppe; Carretto, Edoardo; Dalla Dea, Giulia; Palicelli, Andrea; Bernardelli, Giuditta; Chesi, Elena; Gargano, Giancarlo.
Afiliación
  • Bonasoni MP; Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Comitini G; Department of Obstetrics & Gynaecology, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Pati M; Department of Obstetrics & Gynaecology, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Bardaro M; Clinical Microbiology Laboratory, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Russello G; Clinical Microbiology Laboratory, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Carretto E; Clinical Microbiology Laboratory, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Dalla Dea G; Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Palicelli A; Pathology Unit, "Maggiore della Carità" Hospital, Novara, Italy.
  • Bernardelli G; Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Chesi E; Pathology Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
  • Gargano G; Department of Obstetrics and Pediatrics, Neonatal Intensive Care Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Fetal Pediatr Pathol ; 42(3): 456-463, 2023 Jun.
Article en En | MEDLINE | ID: mdl-36218233
Introduction: Fusobacterium nucleatum is a gram-negative anaerobe, a constituent of the oral microflora, responsible for chronic periodontal diseases. Case Report: We describe a preterm infant with premature rupture of membranes at 23 weeks of gestational age due to F. nucleatum. The newborn died soon after birth. Placental histopathology showed severe necrotizing chorioamnionitis and funisitis with gram-negative bacilli. After autopsy, F. nucleatum was microbiologically isolated from the lung. The mother had dental hygiene 1 day before delivery, presenting mild and diffuse gingivitis. At admission, she had leukocytosis, foul-smelling vaginal discharge, but no fever. Conclusion: This case highlights the possibility of F. nucleatum spreading from oral cavity after a dental procedure to the placenta with chorioamnionitis and fetal infection. This raises the question of whether dental procedures during pregnancy should be accompanied by prophylactic antibiotics.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corioamnionitis / Sepsis / Muerte Perinatal Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: Fetal Pediatr Pathol Asunto de la revista: PATOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Corioamnionitis / Sepsis / Muerte Perinatal Límite: Female / Humans / Newborn / Pregnancy Idioma: En Revista: Fetal Pediatr Pathol Asunto de la revista: PATOLOGIA / PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido