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Brucella septicemia in pregnancy
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|February 1, 1980
Summary
This case report details a rare instance of Brucella melitensis septicemia during pregnancy, leading to fetal death and Gram-negative septic shock. It highlights the critical need for timely diagnosis of Brucellosis in pregnant patients.
Area of Science:
- Obstetrics and Gynecology
- Infectious Diseases
- Hematology
Background:
- Brucellosis is a zoonotic infection that can cause severe maternal and fetal complications.
- Pregnancy can alter the clinical presentation and diagnostic challenges of infectious diseases.
Observation:
- A pregnant patient presented with intrauterine fetal death and signs of Gram-negative septic shock.
- Brucella melitensis was identified as the causative agent of septicemia.
Findings:
- This is the first reported case of human brucellosis co-occurring with Gram-negative sepsis and diffuse intravascular coagulation (DIC) during pregnancy.
- The patient experienced intrauterine fetal death secondary to the severe sepsis.
Implications:
- Early diagnosis of Brucellosis in febrile pregnant patients is crucial.
- Blood cultures and Brucella agglutinin tests are vital diagnostic tools for pregnant women with fever.
- This case underscores the potential severity of Brucella infection in pregnancy and its association with other critical conditions.