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Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report
Patient: Female, newborn Final Diagnosis: Actinomyces infection Symptoms: Premature labor Medication: — Clinical Procedure: — Specialty: Infectious Disease OBJECTIVE: Rare disease BACKGROUND: Actinomyces species are normal flora of the upper respiratory, female genital, and gastrointestinal tract. A...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240930/ https://www.ncbi.nlm.nih.gov/pubmed/30420589 http://dx.doi.org/10.12659/AJCR.911374 |
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author | Alghamdi, Ahlam Tabb, Deanne Hagan, Laura |
author_facet | Alghamdi, Ahlam Tabb, Deanne Hagan, Laura |
author_sort | Alghamdi, Ahlam |
collection | PubMed |
description | Patient: Female, newborn Final Diagnosis: Actinomyces infection Symptoms: Premature labor Medication: — Clinical Procedure: — Specialty: Infectious Disease OBJECTIVE: Rare disease BACKGROUND: Actinomyces species are normal flora of the upper respiratory, female genital, and gastrointestinal tract. Actinomyces species are generally considered to have a low virulence potential. Here we report one case of Actinomyces viscosus isolated from a neonatal blood culture as a consequence of extreme prematurity in the presence of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome. CASE REPORT: A 23-week gestational age female infant was born to a 32-year-old mother. The pregnancy was complicated by severe HELLP syndrome leading to cesarean section at 23-week gestation. The initial blood culture grew anaerobic gram-positive branching rods consistent with Actinomyces species. Due to patient instability, antibiotic was started and continued for a total of 13 days. On day of life 26, the reference laboratory identified the organism as A. viscosus by 16S ribosomal RNA. CONCLUSIONS: In this case, Actinomyces species was a consequence of HELLP syndrome and consecutive extreme prematurity. Further research to look more closely at Actinomyces species isolated from neonatal blood culture will help to elucidate the true significance of these isolates. |
format | Online Article Text |
id | pubmed-6240930 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62409302018-12-11 Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report Alghamdi, Ahlam Tabb, Deanne Hagan, Laura Am J Case Rep Articles Patient: Female, newborn Final Diagnosis: Actinomyces infection Symptoms: Premature labor Medication: — Clinical Procedure: — Specialty: Infectious Disease OBJECTIVE: Rare disease BACKGROUND: Actinomyces species are normal flora of the upper respiratory, female genital, and gastrointestinal tract. Actinomyces species are generally considered to have a low virulence potential. Here we report one case of Actinomyces viscosus isolated from a neonatal blood culture as a consequence of extreme prematurity in the presence of HELLP (hemolysis, elevated liver enzymes, low platelet count) syndrome. CASE REPORT: A 23-week gestational age female infant was born to a 32-year-old mother. The pregnancy was complicated by severe HELLP syndrome leading to cesarean section at 23-week gestation. The initial blood culture grew anaerobic gram-positive branching rods consistent with Actinomyces species. Due to patient instability, antibiotic was started and continued for a total of 13 days. On day of life 26, the reference laboratory identified the organism as A. viscosus by 16S ribosomal RNA. CONCLUSIONS: In this case, Actinomyces species was a consequence of HELLP syndrome and consecutive extreme prematurity. Further research to look more closely at Actinomyces species isolated from neonatal blood culture will help to elucidate the true significance of these isolates. International Scientific Literature, Inc. 2018-11-13 /pmc/articles/PMC6240930/ /pubmed/30420589 http://dx.doi.org/10.12659/AJCR.911374 Text en © Am J Case Rep, 2018 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Articles Alghamdi, Ahlam Tabb, Deanne Hagan, Laura Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title | Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title_full | Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title_fullStr | Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title_full_unstemmed | Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title_short | Preterm Labor Caused by Hemolysis, Elevated Liver Enzymes, Low Platelet Count (HELLP) Syndrome and Postpartum Infection Complicated with Actinomyces Species: A Case Report |
title_sort | preterm labor caused by hemolysis, elevated liver enzymes, low platelet count (hellp) syndrome and postpartum infection complicated with actinomyces species: a case report |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6240930/ https://www.ncbi.nlm.nih.gov/pubmed/30420589 http://dx.doi.org/10.12659/AJCR.911374 |
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