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Infectious Diseases in Obstetrics and Gynecology
Volume 4, Issue 4, Pages 243-246
http://dx.doi.org/10.1155/S1064744996000464
Obstetrical Case Report

Fusobacterium Chorioamnionitis: Report of Two Cases in Preterm Labor With Intact Amniotic Membranes

1Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa, FL, USA
2Suite 500, Harbourside Medical Tower, 4 Columbia Drive, Tampa 33606, FL, USA

Received 24 April 1996; Accepted 2 August 1996

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background: Preterm labor (PTL) in women with intact membranes may be caused by developing chorioamnionitis. Fusobacterium displays the ability to cause chorioamnionitis in the presence of intact amniotic membrane.

Case: We report 2 patients with severe Fusobacterium chorioamnionitis which resulted in premature termination of pregnancy. Both patients presented with PTL and intact membranes. Neither initially appeared acutely ill. Despite the benign appearance, one woman rapidly deteriorated, requiring ventilation, pressor support, and surgical evacuation of the uterus.

Conclusion: We feel that a Gram's Stain and proper collection of anaerobic cultures at the time of amniocentesis should be part of the evaluation of every patient with suspected chorioamnionitis.