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Title: Maternal septic shock due to Acinetobacter lwoffii infection: a case report
Authors: Isogami, Hirotaka
Sugeno, Misa
Imaizumi, Karin
Fukuda, Toma
Kamo, Norihito
Yasuda, Shun
Yamaguchi, Akiko
Fujimori, Keiya
Affiliation: 産科婦人科学講座
Source title: Fukushima Journal of Medical Science
Volume: 69
Issue: 3
Start page: 191
End page: 196
Issue Date: 2023
Abstract: 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.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/2201
Full text 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 ID: 37766560
Related Page: https://doi.org/10.5387/fms.2022-43
Rights: © 2023 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
Rights: https://creativecommons.org/licenses/by-nc-sa/4.0/
Appears in Collections:Vol.69 (2023)

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FksmJMedSci_69_p191.pdf4.16 MBAdobe PDFDownload

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