Volume 3, Issue 4 (2019)                   SJRM 2019, 3(4): 155-159 | Back to browse issues page

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Almasi M, Masahebi M, Soheilipour Z, Hatami H, Saadat S. Septic Abortion Associated with Salmonella enterica Serotype Typhi in a Patient with Negative Widal Test. SJRM. 2019; 3 (4) :155-159
URL: http://saremjrm.com/article-1-130-en.html
1- Sarem Fertility & Infertility Research Center (SAFIR), Iran University of Medical Sciences, Tehran, Iran
2- Sarem Fertility & Infertility Research Center (SAFIR), Iran University of Medical Sciences, Tehran, Iran , samansaadat_2006@yahoo.com
Abstract:   (902 Views)
Backgrounds & Aims: Intestinal fever or typhoid fever caused by a variety of Salmonella serotypes is still one of the most important medical infections in developing countries. Hormonal changes and its inhibitory effect on the immune system in pregnant women may predispose them to various infections, including typhoid fever caused by Salmonella enterica. Gastroenteritis and septicemia caused by this bacterium can infect the placenta and fetus if they occur during pregnancy, and if not treated early, they may be associated with risks such as abortion. This report is about a pregnant woman with an infectious abortion who referred to Sarem Hospital in Tehran.
Patient Information: In this report, a case of abortion caused by Salmonella enterica serotype Typhi was reported in a 35-year-old pregnant woman who was admitted to a hospital in Iraq with symptoms of gastroenteritis about a month before abortion and was discharged without antibiotics. Widal serological test and blood culture of the patient were negative and the bacterium was isolated from placenta in culture.
Conclusion: Gastroenteritis and gastrointestinal symptoms such as diarrhea and vomiting in pregnant women, especially in the first trimester of pregnancy, should be monitored for salmonella infections, because there is a risk of infection and abortion due to infection. Serologic tests such as Widal test or a blood culture are not enough for this purpose, as false negative results are likely to occur in such cases.
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Article Type: Case Report | Subject: Reproduction
Received: 2018/09/17 | Accepted: 2019/07/25 | Published: 2020/02/6

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