Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report

Abstract Chorioamnionitis is an acute inflammation of the membranes and chorion of the placenta typically due to ascending polymicrobial infection in the setting of membrane rupture. It is a common complication of pregnancy associated with significant maternal, perinatal, and long‐term adverse outco...

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Main Authors: Saheed Akinola Shittu, Sufia Athar, Adila Shaukat, Lolwa Alansari
Format: Article
Language:English
Published: Wiley 2021-11-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.5078
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author Saheed Akinola Shittu
Sufia Athar
Adila Shaukat
Lolwa Alansari
author_facet Saheed Akinola Shittu
Sufia Athar
Adila Shaukat
Lolwa Alansari
author_sort Saheed Akinola Shittu
collection DOAJ
description Abstract Chorioamnionitis is an acute inflammation of the membranes and chorion of the placenta typically due to ascending polymicrobial infection in the setting of membrane rupture. It is a common complication of pregnancy associated with significant maternal, perinatal, and long‐term adverse outcomes. We present a case of placental infection leading to preterm delivery, severe neonatal sepsis, maternal wound infection, postnatal readmission, and prolonged hospital stay. This virulent infection was caused by multidrug–resistant extended‐spectrum beta‐lactamase (ESBL)‐producing Escherichia Coli (E. Coli), which represent a major worldwide threat according to the Centre for Disease Control and Prevention (CDC). It was managed with appropriate antibiotic therapy, patient‐centered approach, and multidisciplinary team involvement that led to favourable maternal and neonatal outcome.
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spelling doaj.art-95309f68d9d44fc191cc9310e9bde0632022-12-21T18:31:51ZengWileyClinical Case Reports2050-09042021-11-01911n/an/a10.1002/ccr3.5078Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case reportSaheed Akinola Shittu0Sufia Athar1Adila Shaukat2Lolwa Alansari3Department of Obstetrics and Gynaecology Al Wakra Hospital Hamad Medical Corporation Doha QatarDepartment of Obstetrics and Gynaecology Al Wakra Hospital Hamad Medical Corporation Doha QatarInfectious Disease Unit Division of Medicine Al Wakra Hospital Hamad Medical Corporation Doha QatarDepartment of Obstetrics and Gynaecology Al Wakra Hospital Hamad Medical Corporation Doha QatarAbstract Chorioamnionitis is an acute inflammation of the membranes and chorion of the placenta typically due to ascending polymicrobial infection in the setting of membrane rupture. It is a common complication of pregnancy associated with significant maternal, perinatal, and long‐term adverse outcomes. We present a case of placental infection leading to preterm delivery, severe neonatal sepsis, maternal wound infection, postnatal readmission, and prolonged hospital stay. This virulent infection was caused by multidrug–resistant extended‐spectrum beta‐lactamase (ESBL)‐producing Escherichia Coli (E. Coli), which represent a major worldwide threat according to the Centre for Disease Control and Prevention (CDC). It was managed with appropriate antibiotic therapy, patient‐centered approach, and multidisciplinary team involvement that led to favourable maternal and neonatal outcome.https://doi.org/10.1002/ccr3.5078chorioamnionitisE. coliextended‐spectrum beta‐lactamaseneonatal sepsiswound infection
spellingShingle Saheed Akinola Shittu
Sufia Athar
Adila Shaukat
Lolwa Alansari
Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
Clinical Case Reports
chorioamnionitis
E. coli
extended‐spectrum beta‐lactamase
neonatal sepsis
wound infection
title Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
title_full Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
title_fullStr Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
title_full_unstemmed Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
title_short Chorioamnionitis and neonatal sepsis due to extended‐spectrum beta‐lactamase‐producing Escherichia coli infection: a case report
title_sort chorioamnionitis and neonatal sepsis due to extended spectrum beta lactamase producing escherichia coli infection a case report
topic chorioamnionitis
E. coli
extended‐spectrum beta‐lactamase
neonatal sepsis
wound infection
url https://doi.org/10.1002/ccr3.5078
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AT adilashaukat chorioamnionitisandneonatalsepsisduetoextendedspectrumbetalactamaseproducingescherichiacoliinfectionacasereport
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