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Leptotrichia Buccalis: A Novel Cause of Chorioamnionitis.

Smid MC, Dotters-Katz SK, Plongla R, Boggess KA - Infect Dis Rep (2015)

Bottom Line: Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome.We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal.We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of North Carolina , Chapel Hill, NC, USA.

ABSTRACT
Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome. We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal. We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic infection.

No MeSH data available.


Related in: MedlinePlus

Leptotrichia buccalis.
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fig001: Leptotrichia buccalis.

Mentions: The day following her cerclage placement, the preliminary culture from her amniocentesis returned 1+ filamentous Gram-negative rods, growing only on the chocolate agar plate (Figure 1). The organism was identified as Leptotrichia buccalis with confidence value of 99.7% using matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS; bioMérieux Vitek MS, Durham, NC, USA) using the v2.0 Knowledge Base database. Then, 16S rRNA gene sequencing was performed to confirm the identification as L. buccalis, which matched 98.5% identity by the method described previously.2 The patient was called, and she complained of back pain. She was evaluated and had no clinical signs or symptoms consistent with chorioamnionitis. Given her clinically stable picture, she was discharged with precautions and a plan for follow up in four days. Two days later, the patient developed abdominal pain and bleeding. She presented to her local hospital in labor, the cerclage was removed, and she delivered a non-viable infant. She was treated with antibiotics for twenty-four hours and recovered without complication. Placenta pathology was consistent with acute chorioamnionitis.


Leptotrichia Buccalis: A Novel Cause of Chorioamnionitis.

Smid MC, Dotters-Katz SK, Plongla R, Boggess KA - Infect Dis Rep (2015)

Leptotrichia buccalis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508535&req=5

fig001: Leptotrichia buccalis.
Mentions: The day following her cerclage placement, the preliminary culture from her amniocentesis returned 1+ filamentous Gram-negative rods, growing only on the chocolate agar plate (Figure 1). The organism was identified as Leptotrichia buccalis with confidence value of 99.7% using matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS; bioMérieux Vitek MS, Durham, NC, USA) using the v2.0 Knowledge Base database. Then, 16S rRNA gene sequencing was performed to confirm the identification as L. buccalis, which matched 98.5% identity by the method described previously.2 The patient was called, and she complained of back pain. She was evaluated and had no clinical signs or symptoms consistent with chorioamnionitis. Given her clinically stable picture, she was discharged with precautions and a plan for follow up in four days. Two days later, the patient developed abdominal pain and bleeding. She presented to her local hospital in labor, the cerclage was removed, and she delivered a non-viable infant. She was treated with antibiotics for twenty-four hours and recovered without complication. Placenta pathology was consistent with acute chorioamnionitis.

Bottom Line: Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome.We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal.We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic infection.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, University of North Carolina , Chapel Hill, NC, USA.

ABSTRACT
Intra-amniotic Leptotrichia buccalis has not been previously associated with adverse pregnancy outcome. We report a case of chorioamnionitis and pregnancy loss associated with this primarily oral commensal. We review Leptotrichia buccalis and other oral commensals that have been identified in cases of intraamniotic infection.

No MeSH data available.


Related in: MedlinePlus