title: Placental abruption remote from term associated with Q Fever infection.
abstract: BACKGROUND
  It has been suggested that Q fever infection in pregnancy is associated with various maternal and neonatal adverse outcomes, including intrauterine growth restriction, stillbirth, preterm delivery, intrauterine fetal death, and oligohydramnios.
  
  
  METHODS
  We describe the cases of two pregnant women remote from term who presented with premature contractions and fever of unknown origin. During their hospitalizations, they had development of near-complete placental abruption. In both cases, immediate delivery ensued. Fever of unknown origin work-up revealed chronic Q fever infection, and polymerase chain reaction investigation of the placenta demonstrated chronic Q fever placentitis.
  
  
  CONCLUSIONS
  Q fever placentitis may result in placental abruption remote from term. Therefore, in endemic areas, the diagnosis of Q fever requires appropriate surveillance and prenatal care.
authors: From the Department of Gynecology, Lis Maternity Hospital, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
authors: Shiri
authors: S
authors: Shinar
authors: Avital
authors: A
authors: Skornick-Rapaport
authors: Eli
authors: E
authors: Rimon
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002097:C-Reactive Protein / Q000378:metabolism; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D016133:Polymerase Chain Reaction; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious; D011778:Q Fever / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000378:metabolism; D015149:Tocolytic Agents / Q000627:therapeutic use
chemical_list: D000900:Anti-Bacterial Agents; D015149:Tocolytic Agents; D002097:C-Reactive Protein