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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.69 (2023) >
このアイテムの引用には次の識別子を使用してください:
http://ir.fmu.ac.jp/dspace/handle/123456789/2201
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| タイトル: | Maternal septic shock due to Acinetobacter lwoffii infection: a case report |
| 著者: | Isogami, Hirotaka
Sugeno, Misa
Imaizumi, Karin
Fukuda, Toma
Kamo, Norihito
Yasuda, Shun
Yamaguchi, Akiko
Fujimori, Keiya |
| 学内所属: | 産科婦人科学講座 |
| 誌名/書名: | Fukushima Journal of Medical Science |
| 巻: | 69 |
| 号: | 3 |
| 開始ページ: | 191 |
| 終了ページ: | 196 |
| 発行日: | 2023年 |
| 抄録: | The incidence of Acinetobacter infections has increased in recent years. Acinetobacter infections are resistant to most antibiotics and can be found in hospitalized patients. Pregnancies complicated by severe sepsis or septic shock are associated with a higher rate of preterm labor and delivery, fetal infection, and operative delivery. This case report describes septic shock due to Acinetobacter lwoffii infection in the 31st week of gestation. A 47-year-old woman, with a gestation of 31 weeks and one day, presented with a fever, and signs of bacterial infection on laboratory tests. Although the patient was started on tazobactam/piperacillin, she went into septic shock, and was transferred to our hospital. Cesarean section was performed at a gestation of 31 weeks and 4 days because of severe maternal pneumonia and non-reassuring fetal status. A. lwoffii was detected in blood cultures collected at the previous hospital, and susceptibility to piperacillin and meropenem to A. lwoffii was confirmed. The pneumonia responded to antibiotic treatment and there were no findings of infection in the neonate. Maternal sepsis is an infrequent but important complication, causing significant maternal and fetal morbidity and fetal and neonatal mortality; therefore, early antibiotic therapy is required to improve the clinical outcome. |
| 出版者: | The Fukushima Society of Medical Science |
| 出版者（異表記）: | 福島医学会 |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/2201 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/2201/1/FksmJMedSci_69_p191.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2022-43 |
| PubMed番号: | 37766560 |
| 関連ページ: | https://doi.org/10.5387/fms.2022-43 |
| 権利情報: | © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 権利情報: | https://creativecommons.org/licenses/by-nc-sa/4.0/ |
| 出現コレクション: | Vol.69 (2023)
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