Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Pathological Case of the Month

Pathological Case of the Month THE INFANT pictured in Figure 1 was a 415-g female born at 22 weeks' gestational age to a 17-year-old gravida 2, para 1 mother. The mother's previous pregnancy produced a healthy child. This pregnancy was complicated by a foul-smelling vaginal discharge and abdominal cramps 2 days prior to admission to the hospital. At admission she had a high leukocyte count and fever. After amniocentesis, she was delivered of this female infant, who lived for 8 hours. The placenta weighed 193 g and had necrotizing acute chorioamnionitis (Figure 2 and Figure 3). All 3 umbilical vessels had vasculitis and funisitis. Airspaces were filled with polymorphonuclear leukocytes (Figure 4). Amniotic fluid and postmortem cultures grew Haemophilus influenzae biotype 1. Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Loading next page...
 
/lp/american-medical-association/pathological-case-of-the-month-MrD30O22MC
Publisher
American Medical Association
Copyright
Copyright © 1998 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.152.2.199
Publisher site
See Article on Publisher Site

Abstract

THE INFANT pictured in Figure 1 was a 415-g female born at 22 weeks' gestational age to a 17-year-old gravida 2, para 1 mother. The mother's previous pregnancy produced a healthy child. This pregnancy was complicated by a foul-smelling vaginal discharge and abdominal cramps 2 days prior to admission to the hospital. At admission she had a high leukocyte count and fever. After amniocentesis, she was delivered of this female infant, who lived for 8 hours. The placenta weighed 193 g and had necrotizing acute chorioamnionitis (Figure 2 and Figure 3). All 3 umbilical vessels had vasculitis and funisitis. Airspaces were filled with polymorphonuclear leukocytes (Figure 4). Amniotic fluid and postmortem cultures grew Haemophilus influenzae biotype 1. Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Feb 1, 1998

Keywords: pregnancy,vasculitis,fever,haemophilus influenzae,amniocentesis,amniotic fluid,autopsy,chorioamnionitis,gestational age,gravidity,infant,leukocyte count,mothers,neutrophils,umbilicus,vaginal discharge,placenta,pregnancy history,well child,hospital admission,funisitis

There are no references for this article.