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Korean Journal of Obstetrics & Gynecology 2001;44(5):1008-1011.
Published online May 1, 2001.
Chorioamnionitis and Fetal Death with Intact Membranes Involving Staphylococcus aureus at term.
Young Sim Lee, Dong Soo Cha, Ji Hoon Lim, Young Jin Lee, In Bai Chung, Kwang Hwa Park, Tae Heon Kim
1Department of Obstetetrics and Gynecology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
2Department of Pathology, Yonsei University, Wonju College of Medicine, Wonju, Korea.
Abstract
It has been believed that the intact placental membranes are a good barrier to ascending infection, but this may be only partly true.` Neonatal infection without premature rupture of the amniotic membranes occurs in 1-2% of births. The prevalence of membranes inflammation among births at term is approximately 10%.2-4 Chorioamnionitis is a frequent cause of fetal death mostly as a silent chorioamnionitis without maternal signs of infection.4 Below we present a case of subclinical acute chorioamnionitis in a woman admitted because of labor pain at 39weeks with intact membranes and subsequent sudden intrauterine fetal death. Culture specimens from the endometrium and uterine cervix showed growth of Staphylococcus aureus.
Key Words: Chorioamnionitis, Staphylococcus aureus, Intact Membranes, Fetal death
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