FusobacteriumChorioamnionitis: Report of Two Cases in Preterm Labor With Intact Amniotic Membranes

[摘要] Background:Preterm labor (PTL) in women with intact membranes may be caused by developingchorioamnionitis.Fusobacteriumdisplays the ability to cause chorioamnionitis in the presence ofintact amniotic membrane.Case:We report 2 patients with severeFusobacteriumchorioamnionitis which resulted in prematuretermination of pregnancy. Both patients presented with PTL and intact membranes. Neitherinitially appeared acutely ill. Despite the benign appearance, one woman rapidly deteriorated,requiring ventilation, pressor support, and surgical evacuation of the uterus.Conclusion:We feel that a Gram's Stain and proper collection of anaerobic cultures at the timeof amniocentesis should be part of the evaluation of every patient with suspected chorioamnionitis.

[学科分类] 妇产科学