Discordant Streptococcus agalactiae (Group B Streptococcus) Gestational Infection in Monochorionic/Diamniotic and Dichorionic/Diamniotic Twins

被引：4

作者：

Pimentel, Jason D. ^{[1
]}

Szymanski, Linda J. ^{[1
]}

Samuel, Linoj P. ^{[1
]}

Meier, Frederick A. ^{[1
]}

机构：

[1] Henry Ford Hosp, Dept Pathol & Lab Med, Detroit, MI 48202 USA

来源：

FETAL AND PEDIATRIC PATHOLOGY | 2012年 / 31卷 / 03期

关键词：

Streptococcus agalactiae; twins; discordant; Group B streptococcus; gestational infection; INTRAAMNIOTIC INFECTION; LABOR;

D O I：

10.3109/15513815.2012.659394

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Infection due to Streptococcus agalactiae or Group B streptococcus may be acquired during parturition or gestation. Discordant twin gestational Group B streptococcus infections are rarely reported. We describe two cases of fatal discordant gestational Group B streptococcus infection in both a monochorionic/diamniotic pregnancy and in a dichorionic/diamniotic pregnancy. In both instances, cultures, examination of the placentae, and autopsy findings demonstrated infection by Group B streptococcus in only the presenting fetus. Despite the ubiquity of this organism, this is the first documented case of discordant gestational Group B streptococcus infection in monochorionic/diamniotic twins and only the third case documented in dichorionic/diamniotic twins.

引用

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页码：176 / 183

页数：8

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