Abstract
Background: Capnocytophaga species are common oral pathogens and infrequent causes of systemic infection in patients with compromised host. The isolation of this organism suggests an oral source of infection.
Case: A 32-year-old woman was admitted at 23 weeks gestation in preterm premature rupture of the membranes. She subsequently developed signs of clinical intra-amniotic infection, including fever, fetal tachycardia, and uterine tenderness. Bacteriologic studies of the amniotic fluid by trans-abdominal amniocentesis and subchorionic placental cultures yielded Capnocytophaga species. On review of the patient's history, a temporal relation was noted between orogenital contact and onset of clinical infection. Thorough evaluation of the patient, including dental examination with periodontal cultures, did not reveal an obvious source of infection. However, significant periodontal disease was identified in her partner and Capnocytophaga species were isolated from her partner.
Conclusion: This case suggests that intra-amniotic infection may have been due to an ascending infection after orogenital contact.
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Selected References
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- Ernest J. M., Wasilauskas B. Capnocytophaga in the amniotic fluid of a woman in preterm labor with intact membranes. Am J Obstet Gynecol. 1985 Nov 15;153(6):648–649. doi: 10.1016/s0002-9378(85)80251-9. [DOI] [PubMed] [Google Scholar]
- Gibbs R. S., Blanco J. D. Premature rupture of the membranes. Obstet Gynecol. 1982 Dec;60(6):671–679. [PubMed] [Google Scholar]
- Iralu J. V., Roberts D., Kazanjian P. H. Chorioamnionitis caused by Capnocytophaga: case report and review. Clin Infect Dis. 1993 Sep;17(3):457–461. doi: 10.1093/clinids/17.3.457. [DOI] [PubMed] [Google Scholar]
- Newman M. G., Socransky S. S., Savitt E. D., Propas D. A., Crawford A. Studies of the microbiology of periodontosis. J Periodontol. 1976 Jul;47(7):373–379. doi: 10.1902/jop.1976.47.7.373. [DOI] [PubMed] [Google Scholar]
- Parenti D. M., Snydman D. R. Capnocytophaga species: infections in nonimmunocompromised and immunocompromised hosts. J Infect Dis. 1985 Jan;151(1):140–147. doi: 10.1093/infdis/151.1.140. [DOI] [PubMed] [Google Scholar]
- Socransky S. S., Holt S. C., Leadbetter E. R., Tanner A. C., Savitt E., Hammond B. F. Capnocytophaga: new genus of gram-negative gliding bacteria. III. Physiological characterization. Arch Microbiol. 1979 Jul;122(1):29–33. doi: 10.1007/BF00408042. [DOI] [PubMed] [Google Scholar]
- Verghese A., Franzus B., Berk S., Roscoe D. L., Clarke A. M. Antimicrobial susceptibility of Capnocytophaga spp. Antimicrob Agents Chemother. 1993 May;37(5):1206–1206. doi: 10.1128/aac.37.5.1206. [DOI] [PMC free article] [PubMed] [Google Scholar]