Chorioamnionitis and intrauterine fetal death after second-trimester amniocentesis.
We report an intrauterine fetal death that occurred less than 24 h after transabdominal amniocentesis. Chorioamnionitis was confirmed by amniotic fluid culture which showed multiple enteric organisms and postmortem examination of the fetus that showed Clostridium perfringens. The patient was treated with intravenous broad-spectrum antibiotics and uterine evacuation and her condition rapidly improved. Intra-amniotic infection after amniocentesis requires a high index of suspicion and prompt aggressive treatment with broad spectrum antibiotics and uterine evacuation to prevent maternal sepsis-related morbidity and mortality.
Vigliani
Marguerite
M
Women and Infants' Hospital, Department of Obstetrics and Gynecology, Warren Alpert School of Medicine at Brown University, Providence, RI, USA. marguerite_vigliani @ brown.edu
D000328:Adult; D000649:Amniocentesis / Q000009:adverse effects*; D002821:Chorioamnionitis / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D005313:Fetal Death / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000209:etiology; D014463:Ultrasonography