Diagnosis of placental abscess in association with recurrent maternal bacteremia in a twin pregnancy.

Abstract:

BACKGROUND:Placental abscess formation is rarely recognized prenatally. We present a case detected ultrasonographically that developed from a central line infection and caused recurrent maternal bacteremia. CASE:A young woman with a 21-week twin gestation presented with recurrent fevers. She had received treatment for bacteremia due to Serratia marcescens. The initial source of the infection was a peripherally inserted central catheter line placed in the first trimester for hyperemesis gravidarum. Fevers continued throughout the second course of antibiotics. An abscess seen sonographically in twin A's placenta was aspirated using a spinal needle, revealing Serratia bacteria. Aspiration was performed at 22 weeks of gestation. Amniotic fluid samples obtained from both sacs were negative for infection. Over 4 weeks, the abscess enlarged and she was delivered. Twin A died of sepsis and twin B had a relatively favorable neonatal course. CONCLUSION:Prenatal diagnosis of placental abscess presents a difficult management dilemma. Traditional amniotic fluid studies did not predict the poor outcome of the affected fetus.

journal_name

Obstet Gynecol

authors

Meirowitz NB,Fleischer A,Powers M,Hippolyte F

doi

10.1097/01.AOG.0000165268.09352.ed

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

463-6

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

107/2/463

journal_volume

107

pub_type

杂志文章
  • Midtrimester N-terminal proatrial natriuretic peptide, free beta hCG, and alpha-fetoprotein in predicting preeclampsia.

    abstract:OBJECTIVE:To determine whether maternal midtrimester serum N-terminal peptide of proatrial natriuretic peptide, free beta subunit of human chorionic gonadotropin (hCGbeta), or alpha-fetoprotein (AFP) levels can predict preeclampsia. METHODS:A population-based cohort included 1037 nulliparous women, of whom 637 (61%) p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00112-4

    authors: Pouta AM,Hartikainen AL,Vuolteenaho OJ,Ruokonen AO,Laatikainen TJ

    更新日期:1998-06-01 00:00:00

  • What Is New in Human Papillomavirus-Related Lower Anogenital Tract Disease Prevention and Screening?: Best Articles From the Past Year.

    abstract::This month we focus on current research in human papillomavirus-related lower anogenital tract disease prevention and screening. Dr. Boardman discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001081

    authors: Boardman LA

    更新日期:2015-10-01 00:00:00

  • Presumed antepartum amniotic fluid embolism.

    abstract:BACKGROUND:Amniotic fluid embolism is seldom recognized in nonperipartum patients. The pathophysiology is uncertain and diagnosis imprecise, making management after stabilization difficult. CASE:A 37-year-old woman at 28 weeks' gestation presented with signs and symptoms consistent with amniotic fluid embolism includi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00630-6

    authors: Kent KJ,Cooper BC,Thomas KW,Zlatnik FJ

    更新日期:2003-09-01 00:00:00

  • Ectopic pregnancy risk with assisted reproductive technology procedures.

    abstract:OBJECTIVE:To assess the ectopic pregnancy risk among women who conceived with assisted reproductive technology (ART) procedures. METHODS:The ectopic rate for ART pregnancies was calculated from population-based data of pregnancies conceived with ART in U.S. clinics in 1999-2001. Variation in ectopic risk by patient an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000196503.78126.62

    authors: Clayton HB,Schieve LA,Peterson HB,Jamieson DJ,Reynolds MA,Wright VC

    更新日期:2006-03-01 00:00:00

  • Comparison of glucose polymer and glucose for screening and tolerance tests in pregnancy.

    abstract::Forty-eight of 100 pregnant women received a 100-g (nonfasting) glucose screening test at about 28 weeks' gestation, followed by a 100-g glucose tolerance test. Another 52 received a 100-g (nonfasting) glucose polymer screening test followed by a 100-g glucose polymer tolerance test. Mean plasma glucose one hour after...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Court DJ,Mann SL,Stone PR,Goldsbury SM,Dixon-McIvor D,Baker JR

    更新日期:1985-10-01 00:00:00

  • Sexual transmission of Candida.

    abstract::Mycotic cultures of 33 couples, in which the women had a diagnosis of chronic recurrent vulvovaginitis, were prepared from the oral cavity, the rectum, the vagina, and the male ejaculate. Reservoirs of infection were found in the oral cavities of 36% of the couples, the rectum in 33%, and the ejaculate in 15%. Prostat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Horowitz BJ,Edelstein SW,Lippman L

    更新日期:1987-06-01 00:00:00

  • Fertility sparing treatment for in situ and early invasive adenocarcinoma of the cervix.

    abstract:OBJECTIVE:To explore the outcome and long-term follow-up of fertility sparing surgery for cervical adenocarcinoma in situ and early invasive adenocarcinoma. METHODS:Between 1985 and 1996, all women with adenocarcinoma in situ (AIS) and stage I adenocarcinoma were identified. Data were abstracted from clinical records ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01544-7

    authors: McHale MT,Le TD,Burger RA,Gu M,Rutgers JL,Monk BJ

    更新日期:2001-11-01 00:00:00

  • Mixed germ cell malignancy of the ovary concurrent with pregnancy.

    abstract:BACKGROUND:A rare malignant germ cell tumor of the ovary during pregnancy was detected by screening of maternal serum alpha-fetoprotein (MSAFP). Treatment of this uncommon tumor during pregnancy incorporated combination chemotherapy including etoposide. CASE:An 18-year-old primiparous woman undergoing antenatal geneti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Horbelt D,Delmore J,Meisel R,Cho S,Roberts D,Logan D

    更新日期:1994-10-01 00:00:00

  • The effect of loop electrosurgical excision procedure on future pregnancy outcome.

    abstract:OBJECTIVE:To estimate whether the loop electrosurgical excision procedure (LEEP) is associated with an adverse effect on the outcome of subsequent pregnancies. METHODS:A retrospective cohort study was performed. The study group comprised women who had a LEEP in Halifax County between 1992 and 1999 and then had a subse...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000151991.09124.bb

    authors: Samson SL,Bentley JR,Fahey TJ,McKay DJ,Gill GH

    更新日期:2005-02-01 00:00:00

  • Evaluation of the contraction stress test before 33 weeks' gestation.

    abstract::The value of the contraction stress test (CST), although well documented in late pregnancy, has been questioned earlier in gestation. We have evaluated the reliability of the CST in 102 patients tested before 33 weeks' gestation. Eighteen patients with a positive CST had a significantly higher incidence of abnormal ur...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gabbe SG,Freeman RD,Goebelsmann U

    更新日期:1978-12-01 00:00:00

  • Successful pregnancy after orthotopic liver transplantation.

    abstract::A successful pregnancy occurred in the first year after liver transplantation. The patient was treated with prednisolone, azathioprine, and low-dose cyclosporine A. A healthy girl of 2260 g (fifth to tenth percentile) was born at 38 weeks. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Haagsma EB,Visser GH,Klompmaker IJ,Verwer R,Slooff MJ

    更新日期:1989-09-01 00:00:00

  • Doppler umbilical artery studies in the twin-twin transfusion syndrome.

    abstract::Eleven patients with twin pregnancies were identified as having twin-twin transfusion syndrome on the basis of like-sex twins with monochorionic placentation and umbilical venous blood hemoglobin differences exceeding 50 g/L at delivery. Umbilical artery velocity-time waveform studies had been performed in these pregn...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Giles WB,Trudinger BJ,Cook CM,Connelly AJ

    更新日期:1990-12-01 00:00:00

  • The mechanism of reduced antithrombin III activity in women with preeclampsia.

    abstract::The cause(s) of the low plasma antithrombin III activity in women with preeclampsia is unknown. The purpose of this study was to evaluate the relationship between plasma antithrombin III activity and both clotting parameters (platelet count and fibrinopeptide A) and renal parameters (serum creatinine and uric acid con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198812000-00006

    authors: Weiner CP

    更新日期:1988-12-01 00:00:00

  • Positive rubella titers in pregnancy: a question of validity.

    abstract::A review of 25 patients with more than 1 rubella titer by hemagglutination-inhibition testing revealed 3 patients with high positive titers that were reported to be negative in subsequent pregnancies. None of the patients had received the rubella vaccine. Because the sensitivity and reliability of hemagglutination-inh...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hall JA,Wills ER,Hall K,Pearson JW

    更新日期:1979-08-01 00:00:00

  • Fetal nucleated cells in maternal peripheral blood after delivery in cases of fetomaternal hemorrhage.

    abstract:OBJECTIVE:To determine how long fetal nucleated cells can be detected in maternal peripheral blood after delivery in cases of fetomaternal hemorrhage, using fluorescence in situ hybridization or polymerase chain reaction. METHODS:Nucleated cells with Y chromosomes were analyzed in 90 blood samples using fluorescence i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00414-9

    authors: Hamada H,Arinami T,Hamaguchi H,Kubo T

    更新日期:1995-03-01 00:00:00

  • Anal sphincter function after delivery rupture.

    abstract::Questionnaires were sent to 63 women with anal sphincter rupture that occurred during vaginal delivery two to seven years earlier. Half of them had significant trouble, such as incontinence for gas, dyspareunia, and pain. We performed anal pressure profilometry in 14 of these women and in ten controls for comparison, ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Haadem K,Dahlstrom JA,Ling L,Ohrlander S

    更新日期:1987-07-01 00:00:00

  • Instagram Users' Experiences of Miscarriage.

    abstract:OBJECTIVE:To explore the shared experiences of miscarriage using a qualitative analysis of social media posts on Instagram. METHODS:We performed this qualitative study by collecting text, photos, hashtags, and emoji from 200 Instagram posts on five arbitrarily selected days in 2019. Key eligibility criteria included p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003621

    authors: Mercier RJ,Senter K,Webster R,Henderson Riley A

    更新日期:2020-01-01 00:00:00

  • Cephalothoracopagus (Janiceps) twinning.

    abstract::Conjoined twins occur with a frequency of 1/50,000--1/100,000 deliveries. The cephalothoracopagus variety is particularly rare. This paper presents a case report of cephalothoracopagus (Janiceps) twinning, with a detailed pathologic analysis, as well as an historical review and discussion of diagnostic modalities. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wedberg R,Kaplan C,Leopold G,Porreco R,Resnik R,Benirschke K

    更新日期:1979-09-01 00:00:00

  • The Rise and Fall of Mesh in Pelvic Surgery and the Shortcomings of Medical Device Regulation.

    abstract::Two U.S. Food and Drug Administration public health warnings regarding the use of mesh in stress incontinence and prolapse repairs have had far-reaching clinical and legal consequences. In this commentary, we explore the drastically distinct results from these mesh-based procedures, which revealed systemic flaws with ...

    journal_title:Obstetrics and gynecology

    pub_type: 社论

    doi:10.1097/AOG.0000000000002776

    authors: Trabuco EC,Montori VM

    更新日期:2018-09-01 00:00:00

  • Expectant management of twin pregnancies discordant for anencephaly.

    abstract:OBJECTIVE:To study the clinical course and perinatal outcome of twin pregnancies discordant for anencephaly, without selective termination. METHODS:We conducted a descriptive retrospective study of 14 cases of dichorionic twin pregnancies discordant for anencephaly, which were managed expectantly in five Israeli perin...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00309-F

    authors: Lipitz S,Meizner I,Yagel S,Shapiro I,Achiron R,Schiff E

    更新日期:1995-12-01 00:00:00

  • Effect of nicotine on human fetal blood flow.

    abstract::Immediate maternal and fetal cardiovascular responses to different doses of nicotine and carbon monoxide were studied in 24 pregnant smokers. A noninvasive pulsed Doppler ultrasound technique was used for measuring fetal blood flow in the descending thoracic aorta, the intra-abdominal part of the umbilical vein, and i...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Lindblad A,Marsál K,Andersson KE

    更新日期:1988-09-01 00:00:00

  • Histopathology of fallopian tubes with recurrent tubal pregnancy.

    abstract::Fifteen fallopian tubes in which a previous ipsilateral eccyesis was managed by conservative surgical techniques were examined. The condition of the tube relative to the previous surgical management and the resolution of the previous implantation sites were correlated with the recurrent tubal pregnancy. All previous i...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stock RJ

    更新日期:1990-01-01 00:00:00

  • High compared with standard gentamicin dosing for chorioamnionitis: a comparison of maternal and fetal serum drug levels.

    abstract:OBJECTIVE:To compare umbilical cord and maternal serum peak gentamicin concentration, gentamicin elimination, and clinical outcomes between women who received once-daily compared with standard, thrice-daily dosing for clinical chorioamnionitis. METHODS:We randomly assigned 38 laboring women, at least 34 weeks gestatio...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000151106.87930.1a

    authors: Locksmith GJ,Chin A,Vu T,Shattuck KE,Hankins GD

    更新日期:2005-03-01 00:00:00

  • Risk of uterine rupture with a trial of labor in women with multiple and single prior cesarean delivery.

    abstract:OBJECTIVE:To determine whether the risk for uterine rupture is increased in women attempting vaginal birth after multiple cesarean deliveries. METHODS:We conducted a prospective multicenter observational study of women with prior cesarean delivery undergoing trial of labor and elective repeat operation. Maternal and p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/01.AOG.0000224694.32531.f3

    authors: Landon MB,Spong CY,Thom E,Hauth JC,Bloom SL,Varner MW,Moawad AH,Caritis SN,Harper M,Wapner RJ,Sorokin Y,Miodovnik M,Carpenter M,Peaceman AM,O'sullivan MJ,Sibai BM,Langer O,Thorp JM,Ramin SM,Mercer BM,Gabbe SG,Na

    更新日期:2006-07-01 00:00:00

  • Chediak-Higashi syndrome in pregnancy.

    abstract::We report the first known case of Chediak-Higashi syndrome in human pregnancy. This rare autosomal recessive disorder is characterized by partial oculocutaneous albinism, decreased leukocyte chemotaxis, susceptibility to infection, and death in childhood. Pathognomonic giant cytoplasmic granules are postulated to be d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Price FV,Legro RS,Watt-Morse M,Kaplan SS

    更新日期:1992-05-01 00:00:00

  • Occult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications.

    abstract:OBJECTIVE:To estimate the prevalence of corpus uteri, cervix uteri, and ovarian malignancy in women undergoing hysterectomy or myomectomy for presumed benign indications. METHODS:We conducted a secondary analysis of data from the 2014-2015 American College of Surgeons National Surgical Quality Improvement Program. Adu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/AOG.0000000000002521

    authors: Desai VB,Wright JD,Schwartz PE,Jorgensen EM,Fan L,Litkouhi B,Lin H,Gross CP,Xu X

    更新日期:2018-04-01 00:00:00

  • Maternal age: an independent risk factor for cesarean delivery.

    abstract:OBJECTIVE:To evaluate whether there is an increased risk of cesarean delivery in women who delay childbearing into their later reproductive years, using a well-defined cohort and controlling for difference in baseline susceptibility such as complications of pregnancy and labor. METHODS:The current study included all w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Peipert JF,Bracken MB

    更新日期:1993-02-01 00:00:00

  • Intent-to-treat analysis of stage Ib and IIa cervical cancer in the United States: radiotherapy or surgery 1988-1995.

    abstract:OBJECTIVE:To estimate the patterns of care and outcome of women with early cervical cancer in the United States based on surgical or radiation intent-to-treat principles. METHODS:The Surveillance, Epidemiology, and End Results 1995 public-use file was the data source. Subjects between the ages of 15 and 80 years at di...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01117-0

    authors: Brewster WR,Monk BJ,Ziogas A,Anton-Culver H,Yamada SD,Berman ML

    更新日期:2001-02-01 00:00:00

  • Foley Bulb Insertion by Blind Placement Compared With Direct Visualization: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To test the hypothesis that digital placement of a balloon catheter is not inferior to the speculum method in terms of rate of maternal infection. METHODS:In an open-label noninferiority randomized trial, pregnant women who were undergoing induction of labor with unfavorable cervix (less than 3 cm dilated an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004182

    authors: Kuhlmann MJ,Spencer N,Garcia-Jasso C,Singh P,Abdelwahab M,Vaughn M,Marshall K,Prasad N,Soulsby-Monroy R,Saade GR,Saad AF

    更新日期:2021-01-01 00:00:00

  • A Missed Opportunity for U.S. Perinatal Human Immunodeficiency Virus Elimination: Pre-exposure Prophylaxis During Pregnancy.

    abstract:OBJECTIVE:To estimate the proportion of women at increased risk of sexual human immunodeficiency virus (HIV) acquisition during pregnancy in a high HIV incidence urban setting to identify those who may be eligible for pre-exposure prophylaxis. METHODS:We conducted a retrospective cohort study of women who received pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002258

    authors: Fruhauf T,Coleman JS

    更新日期:2017-10-01 00:00:00