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Disseminated melioidosis in early pregnancy - an unproven cause of foetal loss.
BMC Infectious Diseases ( IF 3.4 ) Pub Date : 2020-03-06 , DOI: 10.1186/s12879-020-4937-8
Chee Yik Chang 1 , Nina Lee Jing Lau 2 , Bart J Currie 3 , Yuwana Podin 4
Affiliation  

BACKGROUND Melioidosis is a potentially life-threatening infection caused by the Gram-negative bacterium Burkholderia pseudomallei. Melioidosis is difficult to diagnose due to its diverse clinical manifestations, which often delays administration of appropriate antibiotic therapy. CASE PRESENTATION Melioidosis is uncommon in pregnancy but both spontaneous abortion and neonatal melioidosis have been reported. We report a case of bacteraemic melioidosis in a young woman with a subsequent spontaneous abortion, with B. pseudomallei cultured from a high vaginal swab as well as blood. CONCLUSION It remains unclear in this and previously reported cases as to whether the maternal melioidosis was sexually transmitted.

中文翻译:

早孕期播散性类li虫病-一种未经证实的胎儿丢失原因。

背景技术类胡oid病是由革兰氏阴性细菌假苹果伯克霍尔德氏菌引起的可能威胁生命的感染。由于类胡萝卜素的临床表现多样,因此难以诊断,这通常会延迟适当抗生素治疗的实施。病例介绍妊娠中,类鼻疽很少见,但自然流产和新生儿类鼻oid都有报道。我们报告了一名年轻女子因继发性流产而发生细菌性类弧菌病的案例,该细菌由高阴道拭子和血液培养而成。结论在该病例和先前报道的病例中,关于母体类oid虫病是否通过性传播尚不清楚。
更新日期:2020-03-06
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