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Related Experiment Videos

Salmonella sepsis and miscarriage.

L B Coughlin1, J McGuigan, N G Haddad

  • 1Department of Obstetrics and Gynecology, Whiston Hospital, Warrington Lane, Prescot, Merseyside, L35 5DR, UK. drlbc@aol.com

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
|November 18, 2003
PubMed
Summary

A 16-week miscarriage was caused by Salmonella Virchow infection passing through the placenta. This hematogenous infection highlights risks associated with maternal Salmonella during pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Microbiology

Background:

  • Pregnancy involves significant physiological changes that can alter susceptibility to infections.
  • Bacterial infections during pregnancy pose risks to both the mother and the fetus.
  • Salmonella infections can lead to severe maternal and fetal complications.

Observation:

  • A case of miscarriage at 16 weeks of gestation is presented.
  • The miscarriage was attributed to an infection and transplacental passage of Salmonella group C.
  • Salmonella Virchow was identified from a genital tract swab culture.

Findings:

  • Placental Gram-staining showed numerous Gram-negative bacilli within the placental villi.
  • This confirmed a true villitis associated with a hematogenous infection.

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  • The maternal infection was likely contracted from consuming undercooked eggs.

    • Implications:

    • This case underscores the potential for Salmonella to cause miscarriage through placental infection.
    • It highlights the importance of considering foodborne pathogens in cases of pregnancy loss.
    • Antibiotic therapy for Salmonella in pregnancy should be reserved for invasive disease, with amoxicillin or cephalosporins as options.