
CASE DISCUSSION
Diagnosis of Intra Amniotic Infections
Presented from India by Dr Aruna Reddy0
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Case Description
Infection of the chorion, amnion, amniotic fluid, placenta, or a combination of these is referred to as intra-amniotic infection. Obstetric difficulties and issues in the foetus and newborn are more likely to occur when there is infection. Fever, uterine pain, foul-smelling amniotic fluid, purulent...
Case Summary
- Etiopathology of intraamniotic infection usually involves polymicrobial origins, with both aerobic and anaerobic bacteria. It often stems from an ascending infection from the vagina to the amniotic cavity, typically sterile and protected by the cervical plug. The retrograde movement of vaginal flora into the amniotic cavity can occur under certain conditions and after invasive procedures such as amniocentesis or chorionic villus sampling. Hematogenous spread due to maternal systemic infections, like Listeria monocytogenes, can also cause infection, as can direct spread from the peritoneal cavity through the fallopian tube.
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