Salmonella typhi chorioamnionitis in a human immunodeficiency virus-infected pregnant woman. A case report.
Opportunistic prenatal infection is a recognized problem in human immunodeficiency virus (HIV)-infected women from inner city communities. We report a case of intrapartum Salmonella typhi infection and discuss the possible route of infection. An HIV-infected pregnant woman was admitted for fever and ruptured membranes. Maternal blood, cervical and uterine cultures, and placental surface and intramembranous space cultures grew S typhi. The patient responded to antibiotic therapy, with no relapse. The infant did not show signs or symptoms of Salmonella sepsis. Salmonella infection should be treated aggressively in HIV-infected pregnancies with chorioamnionitis and postpartum endometritis.
Hedriana
H L
HL
Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York, New York, USA.
Mitchell
J L
JL
Williams
S B
SB
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D002821:Chorioamnionitis / Q000382:microbiology*; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology*; D012480:Salmonella Infections / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012485:Salmonella typhi / Q000302:isolation & purification
D000900:Anti-Bacterial Agents