鹦鹉热衣原体
医学
鹦鹉热
怀孕
衣原体
败血症
妊娠期
机械通风
胎龄
急性呼吸窘迫综合征
产科
感染性休克
儿科
外科
肺
内科学
免疫学
病理
生物
遗传学
作者
Mirjam J Janssen,Koos van de Wetering,Birgit Arabin
出处
期刊:PubMed
日期:2006-04-07
卷期号:51 (1): 17-20
被引量:14
摘要
Chlamydia psittaci is associated with significant morbidity and mortality during pregnancy, and its rarity can delay early diagnosis and treatment. A farmer's wife presented at 31 weeks with febrile illness and developed signs of septic shock, indicating immediate delivery. The child developed uneventfully. The mother survived after symptomatic mechanical ventilation, including extracorporeal lung assistance, for 11 days due to multi-organ failure. Only two weeks after admission antibody titres against Chlamydia were rising. The placenta demonstrated acute intervillositis and destruction of throphoblastic cells. Retrospectively, the infection was presumed to derive from infected pregnant sheep. Pregnant women should be advised to avoid contact with sheep and their gestational products. Proper history, early recognition and appropriate management is mandatory for survival of both mother and child.
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