Related Experiment Video
Updated: Jun 23, 2026

A Murine Model of Fetal Exposure to Maternal Inflammation to Study the Effects of Acute Chorioamnionitis on Newborn Intestinal Development
Published on: June 24, 2020
Acinetobacter baumannii infection during pregnancy and puerperium
Viktoria Aivazova1, Franz Kainer, Klaus Friese
11st Department of Obstetrics and Gynecology, Ludwig Maximilians University Munich, Maistrasse 11, Munich, Germany.
Abstract:
Acinetobacter baumannii is a multidrug-resistant bacterium that is normally a commensal pathogen. This bacterium can lead to severe complications such as pneumonia, fever and septicaemia, because of limited treatment options. This case report describes a cervical A. baumannii infection during pregnancy and puerperium in a case of a patient treated in our hospital, because of insufficiency of cervix diagnosed in the 28 + 3 week of gestation. In spite of antibiotic treatment, the patient developed increasing contractions and chorioamnionitis, resulting in caesarean section in the 31st week of gestation. Moreover, although being treated with carbapenems, the patient presented postpartal with fever and septic symptoms, which could only be treated by escalation of the dosage of the given carbapenem. In conclusion, A. baumannii can lead to premature contractions and can be associated with chorioamnionitis during pregnancy. Moreover, it can also cause septic complications in the puerperium associated with long duration of hospitalisation. The management and therapy of this vaginal infection during pregnancy and puerperium is a real challenge to gynaecologists and obstetricians.
Insights
A multidrug-resistant bacterium, Acinetobacter baumannii, can cause severe cervical infections during pregnancy, leading to preterm birth and postpartum sepsis. Effective management of this infection presents a significant challenge for obstetricians.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Bacteriology
Background:
- Acinetobacter baumannii is a multidrug-resistant pathogen.
- It can cause severe infections like pneumonia, fever, and septicemia.
- Limited treatment options exacerbate the risks associated with A. baumannii infections.
Observation:
- This case report details a cervical A. baumannii infection in a pregnant patient.
- The infection occurred in a patient with cervical insufficiency at 28 weeks of gestation.
- Despite antibiotic treatment, the patient experienced contractions and chorioamnionitis, necessitating a cesarean section at 31 weeks.
Findings:
- A. baumannii infection during pregnancy can induce premature contractions and chorioamnionitis.
- Postpartum, the patient developed fever and septic symptoms, requiring escalated carbapenem dosage.
- This highlights the challenges in managing A. baumannii infections during pregnancy and puerperium.
Implications:
- A. baumannii poses a significant threat during pregnancy and postpartum periods.
- Effective therapeutic strategies for managing A. baumannii vaginal infections in pregnant patients are urgently needed.
- This case underscores the critical need for heightened awareness and specialized management protocols for obstetricians and gynecologists.
Related Concept Videos
Acute Pyelonephritis II: Diagnostic Studies and Management
Acute Pyelonephritis I: Introduction
Development of the Oral Microbiota
Urinary Tract Infection II: Pathophysiology
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pneumonia I: Introduction