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Maternal septic shock due to Acinetobacter lwoffii infection:a case report

Hirotaka Isogami, Misa Sugeno, Karin Imaizumi, Toma Fukuda, Norihito Kamo, Shun Yasuda, Akiko Yamaguchi, Keiya Fujimori

Author information

  • Hirotaka Isogami

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Misa Sugeno

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Karin Imaizumi

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Toma Fukuda

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Norihito Kamo

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Shun Yasuda

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Akiko Yamaguchi

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

  • Keiya Fujimori

    Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine

Abstract

The incidence of Acinetobacter infections has increased in recent years. Acinetobacter infections are resistant to most antibiotics and can be found in hospitalized patients. Pregnancies complicated by severe sepsis or septic shock are associated with a higher rate of preterm labor and delivery, fetal infection, and operative delivery. This case report describes septic shock due to Acinetobacter lwoffii infection in the 31st week of gestation. A 47-year-old woman, with a gestation of 31 weeks and one day, presented with a fever, and signs of bacterial infection on laboratory tests. Although the patient was started on tazobactam/piperacillin, she went into septic shock, and was transferred to our hospital. Cesarean section was performed at a gestation of 31 weeks and 4 days because of severe maternal pneumonia and non-reassuring fetal status. A. lwoffii was detected in blood cultures collected at the previous hospital, and susceptibility to piperacillin and meropenem to A. lwoffii was confirmed. The pneumonia responded to antibiotic treatment and there were no findings of infection in the neonate. Maternal sepsis is an infrequent but important complication, causing significant maternal and fetal morbidity and fetal and neonatal mortality; therefore, early antibiotic therapy is required to improve the clinical outcome.

The cintent of reseach paper

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