[Amnionic infection syndrome by retro-amniotic uterine abscess: false-negative bacteriological diagnostic amniocentesis].
In general intra-amniotic infection causes severe fetal compromise. Prematurity resulting from preterm labor, premature rupture of membranes, maternal fever, maternal or fetal septicemia and fetal tachycardia is the major problem of this clinical syndrome. Therefore early detection of chorioamnionitis gains high prospective value. Gram's staining method from amniotic fluid provides a quick and reliable diagnostic tool (sensitivity 63.8%, specificity 97.7%). A localized extra-amniotic abscess demonstrates the special case of a false negative amniocentesis performed for bacteriological reasons.


CONCLUSIONS
In suspected amniotic infection the obstetrical management has always to take into account all different parameters--clinical symptoms, chemistry and microbiological analysis. Nevertheless Gram's stain is a reliable and quick method to verify amniotic infection syndrome.
Strauss
A
A
Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Ludwig-Maximilians-Universität, München, Deutschland.
Hasbargen
U
U
Henckel von Donnersmark
G
G
Westerburg
B
B
Hepp
H
H
D018784:Abdominal Abscess / Q000175:diagnosis*; D000328:Adult; D001431:Bacteriological Techniques; D002821:Chorioamnionitis / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005189:False Positive Reactions; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications; D011645:Puerperal Infection / Q000175:diagnosis; D014591:Uterine Diseases / Q000175:diagnosis*
Amnioninfektionssyndrom durch retroamnialen Uterusabszess: Falsch negative bakteriologisch-diagnostische Fruchtwasserpunktion.