Morbidly Obese Woman Unaware of Pregnancy until Full-Term and Complicated by
 Intraamniotic Sepsis with Pseudomonas

Muppala, H.; Rafi, J.; Arthur, I.

doi:https://doi.org/10.1155/2007/51689

Infectious Diseases in Obstetrics and Gynecology

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Case Report | Open Access

Volume 2007 | Article ID 051689 | https://doi.org/10.1155/2007/51689

Morbidly Obese Woman Unaware of Pregnancy until Full-Term and Complicated by Intraamniotic Sepsis with Pseudomonas

H. Muppala,¹J. Rafi,²and I. Arthur³

Received18 Sept 2007

Accepted30 Nov 2007

Published06 Feb 2008

Abstract

A 32-year-old Caucasian woman of body mass index (BMI) 46 presented with urinary symptoms to accident and emergency (A&E). Acute pyelonephritis was the diagnosis. Transabdominal scan revealed a live term fetus. Both the partners were unaware of the ongoing pregnancy until diagnosed. She underwent emergency cesarean under general anaesthesia (GA) for nonreassuring CTG, severe chorioamnionitis, and moderate preecclampsia. A live male baby weighing 4400 grams delivered in poor condition. Placental tissue on culture exhibited scanty growth of pseudomonas aeruginosa. Chorioamnionitis due to pseudomonas is rare, with high neonatal morbidity and mortality. It is mostly reported among preterm prelabor rupture of membranes (PPROM). Educating the community especially morbidly obese women if they put on excessive weight or with irregular periods should seek doctor's advice and exclude pregnancy. For the primary care provider, it is of great importance to exclude pregnancy in any reproductive woman presenting with abdominal complaints. This case also brings to clinicians notice that pseudomonas can be community-acquired and can affect term pregnancies with intact or prolonged rupture of membranes.

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Copyright

Copyright © 2007 H. Muppala et al. 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.

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