Haemophilus influenzaeSeptic Abortion

[摘要] Background:Haemophilus influenzaeseptic abortion is typically caused by nontypeable strains of the organism.Furthermore, nontypeable species with a special affinity for the genital tract are the most frequent isolates encountered,and an ascending vaginal or cervical infection is often the suspected route of transmission.Case:A 39-year-old woman at 8 weeks gestation who underwent dilation, evacuation, and curettage for embryonicdemise had clinical evidence for sepsis and isolation of a nontypeable, ampicillin resistantH. influenzaefrom blood cultures. Although an ascending vaginal infection was suspected, the route of transmission was notdetermined.Conclusion:Nontypeable strains of.H. influenzaehave demonstrated increased beta-lactamase activity, andampicillin, formerly the treatment of choice, should be used only if isolate susceptibility is known.

[学科分类] 妇产科学