Campylobacter coli infection causing second trimester intrauterine growth restriction (IUGR): a case report and review of the literature

Prenatal Diagnosis
Adi Kuperman-ShaniRon Maymon

Abstract

Campylobacter is a gram-negative, microaerophilic, curved rod and a normal resident of the gastrointestinal flora and may be the cause of disease in animals. Transmission to humans occurs by ingestion of contaminated food or by direct contact with infected animals. In the past few decades, an increasing number of reports have implicated the presence of this organism in human abortions as well. An infectious mechanism due to primary placental inflammatory damage followed by secondary damage to the fetus following placental insufficiency and ischemia was suggested. The most common species of Campylobacter are Campylobacter jejuni and Campylobacter coli, which are classically associated with enteritis in humans. We present a rare case of mid-gestation intrauterine growth restriction (IUGR) associated with maternal bacteremia caused by C. coli infection. Our literature review focuses on Campylobacter infections occurring in the second and third trimesters of pregnancy. In all cases, mild maternal symptoms consisting of fever and weakness were presented. However, associated adverse fetal outcome, including abortions, IUGR or preterm labor may occur more frequently than anticipated. Our report strengthens the importance of awareness ...Continue Reading

References

May 1, 1992·The Australian & New Zealand Journal of Obstetrics & Gynaecology·D J Farrell, M T Harris
May 1, 1986·Reviews of Infectious Diseases·A E SimorM Roscoe
Jul 1, 1983·Placenta·C R Coid, H Fox
Jan 1, 1995·British Journal of Obstetrics and Gynaecology·M MazorM Glezerman
Dec 13, 1997·The Journal of Infectious Diseases·M J Blaser
Jan 16, 2004·The New England Journal of Medicine·Marc LecuitOlivier Lortholary
Apr 16, 2004·The New England Journal of Medicine·Michael C Peterson
Sep 18, 2004·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·J-P Butzler

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