Acute placental infection due to Klebsiella pneumoniae: report of a unique case.
A 40-year-old woman, gravida 9, with seven healthy children and a history of one abortion (p 7 + 1), presented at 18 weeks of gestation with fever and malodorous vaginal discharge. Ultrasound revealed a macerated fetus. The placenta showed acute chorioamnionitis and acute villitis with microabscess formation. Blood and vaginal cultures both grew Klebsiella pneumoniae. This is the first reported case in English literature of Klebsiella pneumoniae causing suppurative placentitis leading to fetal demise.
Sheikh
Salwa S
SS
Dhahran Health Center, Pathology Services Division, Dhahran, Saudi Arabia. salwa.sheikh@aramco.com
Amr
Samir S
SS
Lage
Janice M
JM
D000208:Acute Disease; D000328:Adult; D005260:Female; D005313:Fetal Death / Q000382:microbiology; D006801:Humans; D007710:Klebsiella Infections / Q000097:blood / Q000382:microbiology*; D007711:Klebsiella pneumoniae / Q000254:growth & development*; D008297:Male; D010922:Placenta Diseases / Q000097:blood / Q000382:microbiology*; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000097:blood / Q000382:microbiology*