Term stillbirth caused by oral Fusobacterium nucleatum.
BACKGROUND
Intrauterine infection is a recognized cause of adverse pregnancy outcome, but the source of infection is often undetermined. We report a case of stillbirth caused by Fusobacterium nucleatum that originated in the mother's mouth.


METHODS
A woman with pregnancy-associated gingivitis experienced an upper respiratory tract infection at term, followed by stillbirth a few days later. F. nucleatum was isolated from the placenta and the fetus. Examination of different microbial floras from the mother identified the same clone in her subgingival plaque but not in the supragingival plaque, vagina, or rectum.


CONCLUSIONS
F. nucleatum may have translocated from the mother's mouth to the uterus when the immune system was weakened during the respiratory infection. This case sheds light on patient management for those with pregnancy-associated gingivitis.
Han
Yiping W
YW
From the Department of Periodontics, School of Dental Medicine, Department of Pathology, School of Medicine, Case Western Reserve University, Cleveland, Ohio; the Division of Primary Oral Health Care, School of Dentistry, University of Southern California, Los Angeles, Los Angeles, California; and the Departments of Obstetrics and Gynecology and Pathology, Saint John's Health Center, Santa Monica, California.
Fardini
Yann
Y
Chen
Casey
C
Iacampo
Karla G
KG
Peraino
Victoria A
VA
Shamonki
Jaime M
JM
Redline
Raymond W
RW
D000328:Adult; D002821:Chorioamnionitis / Q000382:microbiology; D005260:Female; D005491:Focal Infection, Dental / Q000150:complications / Q000382:microbiology*; D005674:Fusobacterium Infections / Q000150:complications / Q000382:microbiology*; D016967:Fusobacterium nucleatum / Q000302:isolation & purification*; D005891:Gingivitis / Q000150:complications / Q000382:microbiology*; D006801:Humans; D016133:Polymerase Chain Reaction; D011247:Pregnancy; D050497:Stillbirth; D047929:Term Birth; D014599:Uterus / Q000382:microbiology