IMR Press / CEOG / Volume 25 / Issue 4 / pii/1998037

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report

Methicillin resistant Staphylococcus aureus as a cause of chorioamnionitis

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1 Department of Obstetrics and Gynecology, St. Vincent Hospitals and Health Services, Indianapolis, Indiana (USA)
Clin. Exp. Obstet. Gynecol. 1998, 25(4), 119–120;
Published: 10 December 1998
Abstract

Background: Chorioamnionitis is a leading cause of morbidity and mortality in preterm infants. Only rare is Staphylococcus aureus implicated. A case of methicillin resistant Staphylococcus aureus causing Chorioamnionitis and endometritis is presented. Case Report: A 39-year-old gravida 2 para I female, who previously worked as the unit clerk in the pediatric pulmonary unit of a children’s hospital, was initially admitted at 22 weeks with a shortened cervix. The patient refused emergency cerclage. She was released from the hospital and returned at 25 4/7 weeks’ estimated gestational age with possible pontaneous rupture of membranes. An amniocentesis was performed and revealed a gram stain positive for many gram positive cocci as well as a glucose of <2 mg%. The patient was started on intravenous ampicillin and gentamicin and induction of labor with oxytocin was begun. Approxi­mately 1 day after the patients’ delivery, the culture from the amniocentesis was noted to have grown methicillin resistant Staphy­lococcus aureus, and the patient’s (as well as the neonate’s) regimen was switched to vancomycin. Conclusion.: A Medline search revealed no cases of methicillin resistant Staphylococcus aureus caming chorioamnionitis. When chorioamnionitis or refractory endometritis is encountered in a patient who works in the health care industry, methicillin resistant Staphylococcus aureus must be considered.

Keywords
Chorioamnionitis
Methicillin resistant staphylococcus aureus
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