von Seidlein L, Kim DR, Ali M, Lee H, Wang X, Thiem VD, Canh do G, Chaicumpa W, Agtini MD, Hossain A, Bhutta ZA, Mason C, Sethabutr O, Talukder K, Nair GB, Deen JL, Kotloff K, Clemens J, 2006. A multicentre study of Shigella diarrhoea in six Asian countries: disease burden, clinical manifestations, and microbiology. PLoS Med 3: e353.
INSEE, 2012. Population selon le sexe et l'âge au 1er janvier. Available at: http://www.insee.fr.
Markham KB, Backes C, Samuels P, 2012. Bacteremia and intrauterine infection with Shigella sonnei in a pregnant woman with AIDS. Arch Gynecol Obstet 286: 799–801.
Armor SA, 1990. Periparturitional shigellosis. Nebr Med J 75: 239–241.
Rebarber A, Star Hampton B, Lewis V, Bender S, 2002. Shigellosis complicating preterm premature rupture of membranes resulting in congenital infection and preterm delivery. Obstet Gynecol 100 (Suppl 2): 1063–1065.
Ruderman JW, Stoller KP, Pomerance JJ, 1986. Bloodstream invasion with Shigella sonnei in an asymptomatic newborn infant. Pediatr Infect Dis 5: 379–380.
Lechner W, Rosboth D, Fille M, Dierich M, Bergant A, Windbichler G, Kirchebner P, Sölder E, 1998. Induction of uterine contractions by shigellae. Z Geburtshilfe Neonatol 202: 38–39.
Huskins WC, Griffiths JK, Faruque ASG, Bennish ML, 1994. Shigellosis in neonates and young infants. J Pediatr 125: 14–22.
Sawardekar KP, 2005. Shigellosis caused by Shigella boydii in a preterm neonate, masquerading as necrotizing enterocolitis. Pediatr Infect Dis J 24: 184–185.
Moore EEM, 1974. Shigella sonnei septicaemia in a neonate. BMJ 1: 22.
Germani Y, Sansonetti P, 2008. Shigellose et infections à Escherichia coli entéro-invasifs. Elsevier Masson, 1–17.
Carles G, Montoya Y, Seve B, Rakotofananina T, Largeaud M, Mignot V, 2002. Typhoid fever and pregnancy. J Gynecol Obstet Biol Reprod (Paris) 31: 495–499.
World Health Organization, 2005. Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae. Geneva, Switzerland: World Health Organization.
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Shigella is a major cause of dysentery worldwide. Only a few cases of shigellosis during pregnancy have been reported. However, the neonatal and obstetric complications are potentially severe. The objective of this study was to describe the obstetric and neonatal complications of shigellosis during pregnancy. We carried out a retrospective study of 37 cases of shigellosis diagnosed in pregnant women at the maternity unit of Saint-Laurent du Maroni Hospital in west French Guiana between 2000 and 2014. Shigellosis diagnosis was based on the detection of Shigella in stool cultures from pregnant women (34 patients) or in a neonatal sample collected immediately after delivery (three neonates). In addition to the classic symptoms of shigellosis—an association of diarrhea, fever, and abdominal pain—we observed uterine contractions before the completion of 37 weeks of gestation in 61% of patients (N = 17/28). Cervical changes were associated with uterine contractions in 82% of cases (N = 14/17); 25% of the patients at risk of preterm birth went on to give birth prematurely (N = 3/12). Three cases of mother-to-child transmission were observed. Episodes of shigellosis in pregnant women may trigger uterine contractions and changes to the cervix, potentially resulting in miscarriage or preterm birth.
Authors' addresses: Michaël Parisot and Gabriel Carles, Department of Obstetrics and Gynaecology, Franck Joly Hospital, 97320 Saint-Laurent du Maroni, French Guiana, France, E-mails: mixaelo@yahoo.fr and g.carles@ch-ouestguyane.fr. Anne Jolivet, Department of Public Health, Franck Joly Hospital, 97320 Saint-Laurent du Maroni, French Guiana, France, E-mail: a.jolivet@ch-ouestguyane.fr. Rachida Boukhari, Department of Clinical Biology, Franck Joly Hospital, 97320 Saint-Laurent du Maroni, French Guiana, France, E-mail: r.boukhari@ch-ouestguyane.fr.
von Seidlein L, Kim DR, Ali M, Lee H, Wang X, Thiem VD, Canh do G, Chaicumpa W, Agtini MD, Hossain A, Bhutta ZA, Mason C, Sethabutr O, Talukder K, Nair GB, Deen JL, Kotloff K, Clemens J, 2006. A multicentre study of Shigella diarrhoea in six Asian countries: disease burden, clinical manifestations, and microbiology. PLoS Med 3: e353.
INSEE, 2012. Population selon le sexe et l'âge au 1er janvier. Available at: http://www.insee.fr.
Markham KB, Backes C, Samuels P, 2012. Bacteremia and intrauterine infection with Shigella sonnei in a pregnant woman with AIDS. Arch Gynecol Obstet 286: 799–801.
Armor SA, 1990. Periparturitional shigellosis. Nebr Med J 75: 239–241.
Rebarber A, Star Hampton B, Lewis V, Bender S, 2002. Shigellosis complicating preterm premature rupture of membranes resulting in congenital infection and preterm delivery. Obstet Gynecol 100 (Suppl 2): 1063–1065.
Ruderman JW, Stoller KP, Pomerance JJ, 1986. Bloodstream invasion with Shigella sonnei in an asymptomatic newborn infant. Pediatr Infect Dis 5: 379–380.
Lechner W, Rosboth D, Fille M, Dierich M, Bergant A, Windbichler G, Kirchebner P, Sölder E, 1998. Induction of uterine contractions by shigellae. Z Geburtshilfe Neonatol 202: 38–39.
Huskins WC, Griffiths JK, Faruque ASG, Bennish ML, 1994. Shigellosis in neonates and young infants. J Pediatr 125: 14–22.
Sawardekar KP, 2005. Shigellosis caused by Shigella boydii in a preterm neonate, masquerading as necrotizing enterocolitis. Pediatr Infect Dis J 24: 184–185.
Moore EEM, 1974. Shigella sonnei septicaemia in a neonate. BMJ 1: 22.
Germani Y, Sansonetti P, 2008. Shigellose et infections à Escherichia coli entéro-invasifs. Elsevier Masson, 1–17.
Carles G, Montoya Y, Seve B, Rakotofananina T, Largeaud M, Mignot V, 2002. Typhoid fever and pregnancy. J Gynecol Obstet Biol Reprod (Paris) 31: 495–499.
World Health Organization, 2005. Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae. Geneva, Switzerland: World Health Organization.
Past two years | Past Year | Past 30 Days | |
---|---|---|---|
Abstract Views | 90 | 90 | 15 |
Full Text Views | 418 | 141 | 1 |
PDF Downloads | 158 | 64 | 0 |