We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Second Trimester Fetal Loss Due to Citrobacter koseri Infection: A Rare Cause of Preterm Premature Rupture of Membranes (PPROM).
- Authors
Bonasoni, Maria Paola; Comitini, Giuseppina; Pati, Mariangela; Russello, Giuseppe; Vizzini, Loredana; Bardaro, Marcellino; Pini, Pietro; Marrollo, Roberta; Palicelli, Andrea; Dalla Dea, Giulia; Carretto, Edoardo
- Abstract
Citrobacter koseri is a facultative anaerobic, motile, non-spore-forming Gram-negative bacillus, which belongs to the family of Enterobacteriaceae. Severe infections due to Citrobacter spp. have been reported in the urinary tract, respiratory airways, intra-abdominal organs, skin and soft tissue, eye, bone, bloodstream, and central nervous system. In newborns, C. koseri is a well-known cause of meningitis, cerebral abscesses, brain adhesions, encephalitis, and pneumocephalus. Infection can be acquired through vertical maternal transmission or horizontal hospital settings; however, in many cases, the source is unknown. Preterm premature rupture of membranes (PPROM), caused by C. koseri, has rarely been described. Herein, we describe a case of PPROM at 16 weeks and 3 days of gestation, leading to anhydramnios. The parents opted for legal termination of the pregnancy, as the prognosis was very poor. C. koseri was isolated postmortem from a placental subamniotic swab and parenchymal sample, as well as fetal blood and lung. To the best of our knowledge, this is the first case of early second-trimester PPROM in which C. koseri infection was demonstrated.
- Subjects
PREMATURE rupture of fetal membranes; BRAIN abscess; CITROBACTER; ABORTION; CORD blood; CENTRAL nervous system
- Publication
Diagnostics (2075-4418), 2022, Vol 12, Issue 1, p159
- ISSN
2075-4418
- Publication type
Case Study
- DOI
10.3390/diagnostics12010159