Salmonella sepsis and miscarriage

Abstract

We present a case of a miscarriage at 16 weeks of gestation due to infection and transplacental passage of Salmonella group C. This was identified as being Salmonella Virchow from genital tract swab culture, and placental Gram-staining revealed numerous colonies of Gram-negative bacilli within the fibrin between the placental villi, confirming a true villitis associated with a hematogenous infection. Based on the patient's history, it was suggested that she had contracted the salmonella infection from eating undercooked eggs. Treatment of salmonella infection in pregnancy is controversial, and antibiotic therapy should be reserved for cases of invasive disease, using amoxicillin or a cephalosporin.

Preterm delivery and neonatal meningitis due to transplacental acquisition of non-typhoidalSalmonellaserovarmontevideo

“…Coughlin et al 10 suggested treatment of invasive salmonellosis by amoxicillin or cephalosporin. Gericke et al 13 identified multidrug-resistant Salmonella serovar montevideo from 26 babies due to in vivo cross transfer of plasmids from Escherichia coli and Klebsiella spp.…”

Salmonella Typhi Isolation in a Pregnant Woman: Determining the Importance

“…It has been estimated that the incidence of foetal loss which occurs from untreated typhoid cases during pregnancy could be as high as 80% [1]. Review of literature has shown that not only humans, but that Salmonellae have been well associated with abortions in animals like sheep, cattle and horses [5]. In humans, various species of Salmonella, namely Typhi, Paratyphi, missisippi, enteritidis oranienburg, Virchow, etc have been found to be associated with pregnancy loss [1,2,[5][6][7].…”

“…Review of literature has shown that not only humans, but that Salmonellae have been well associated with abortions in animals like sheep, cattle and horses [5]. In humans, various species of Salmonella, namely Typhi, Paratyphi, missisippi, enteritidis oranienburg, Virchow, etc have been found to be associated with pregnancy loss [1,2,[5][6][7]. In a case which was almost similar to ours, Kaur et al, [8] isolated S. Typhi from the HVS of a primigravida (6 th week) who had high grade fever one month back and had presented with a miscarriage later on.…”

Risk of adverse pregnancy outcome in women exposed to livestock: a study within the Danish National Birth Cohort

“…It is well established that a number of zoonotic pathogens, including Toxoplasma gondii, Listeria monocytogenes, certain Chlamydia species, and Coxiella burnetii, may constitute a risk for the pregnant woman and her fetus [1][2][3][4][5][6][7]. By contrast, pregnancy outcome following other zoonotic infections including Salmonella, Campylobacter, Yersinia enterocolitica and Brucella is more sparsely described [8][9][10][11][12][13].…”