Maternal and Fetal Death following Group A Streptococcal Meningitis in Mid-Term Pregnancy
Joint Authors
Vivekanantham, Sayinthen
Law, Penelope
Kamaledeen, Abderahman
Mudalige, Nadeesha
Suri, Venothan
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Group A streptococcal (GAS) meningitis is rarely seen in the antenatal period, but it is associated with significant mortality.
We present a case of a mid-trimester woman who developed fulminant meningitis following a rapid onset atypical presentation of infection with this organism.
Case.
A multiparous 23+5-week woman presented with a 10-day history of a non-productive cough associated with pyrexia.
Within minutes of her admission she collapsed and lost consciousness; sepsis was suspected and cross-specialty care was initiated.
She was managed empirically in extremis with broad-spectrum antibiotics and mannitol with 3% hypertonic saline for suspected infection and raised intracranial pressure, respectively.
Despite intensivist management, a CT head revealed diffuse oedema with coning of the cerebellar tonsils.
Brainstem death was certified within 19 hours of admission and fetal death ensued.
Postmortem bacteriology confirmed GAS meningitis.
Conclusion.
Through raising awareness of this patient and her disease course, we hope that future policy decisions, primary care, and hospital level management will be informed accordingly for treatment of pregnant women with suspected GAS infection.
American Psychological Association (APA)
Vivekanantham, Sayinthen& Mudalige, Nadeesha& Suri, Venothan& Kamaledeen, Abderahman& Law, Penelope. 2014. Maternal and Fetal Death following Group A Streptococcal Meningitis in Mid-Term Pregnancy. Case Reports in Obstetrics and Gynecology،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-458950
Modern Language Association (MLA)
Vivekanantham, Sayinthen…[et al.]. Maternal and Fetal Death following Group A Streptococcal Meningitis in Mid-Term Pregnancy. Case Reports in Obstetrics and Gynecology No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-458950
American Medical Association (AMA)
Vivekanantham, Sayinthen& Mudalige, Nadeesha& Suri, Venothan& Kamaledeen, Abderahman& Law, Penelope. Maternal and Fetal Death following Group A Streptococcal Meningitis in Mid-Term Pregnancy. Case Reports in Obstetrics and Gynecology. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-458950
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458950