Abstract
AIMS: To evaluate the relation between Chlamydia trachomatis infection and stillbirth, placental tissue was studied for the presence of C trachomatis. METHODS: Paraffin wax embedded placental tissue of a stillbirth fetus, born at the 36th week of gestation to a 21 year old mother with high serum antibody titres to C trachomatis immunotypes during pregnancy and who was culture positive to C trachomatis three years previously, was studied by in situ hybridisation, polymerase chain reaction, and immunohistochemistry for the presence of C trachomatis. RESULTS: C trachomatis was detected in placental specimens by in situ hybridisation and alkaline phosphatase antialkaline phosphatase staining in several sections, whereas control tissues were uniformly negative, indicating the presence of C trachomatis nucleic acid and antigen in the placenta. CONCLUSION: This is the first reported case in which C trachomatis has been demonstrated in the human placenta.
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- Banks J., Glass R., Spindle A. I., Schachter J. Chlamydia trachomatis infection of mouse trophoblasts. Infect Immun. 1982 Oct;38(1):368–370. doi: 10.1128/iai.38.1.368-370.1982. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beatty W. L., Morrison R. P., Byrne G. I. Immunoelectron-microscopic quantitation of differential levels of chlamydial proteins in a cell culture model of persistent Chlamydia trachomatis infection. Infect Immun. 1994 Sep;62(9):4059–4062. doi: 10.1128/iai.62.9.4059-4062.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Beer R. J., Bradford W. P., Hart R. J. Pregnancy complicated by psittacosis acquired from sheep. Br Med J (Clin Res Ed) 1982 Apr 17;284(6323):1156–1157. doi: 10.1136/bmj.284.6323.1156. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bush M. R., Rosa C. Azithromycin and erythromycin in the treatment of cervical chlamydial infection during pregnancy. Obstet Gynecol. 1994 Jul;84(1):61–63. [PubMed] [Google Scholar]
- Cohen I., Veille J. C., Calkins B. M. Improved pregnancy outcome following successful treatment of chlamydial infection. JAMA. 1990 Jun 20;263(23):3160–3163. [PubMed] [Google Scholar]
- Dieterle S. Chlamydieninfektionen in Gynäkologie und Geburtshilfe. Geburtshilfe Frauenheilkd. 1995 Sep;55(9):510–517. doi: 10.1055/s-2007-1022830. [DOI] [PubMed] [Google Scholar]
- Donders G. G., Moerman P., De Wet G. H., Hooft P., Goubau P. The association between Chlamydia cervicitis, chorioamnionitis and neonatal complications. Arch Gynecol Obstet. 1991;249(2):79–85. doi: 10.1007/BF02390366. [DOI] [PubMed] [Google Scholar]
- Gencay M., Koskiniemi M., Saikku P., Puolakkainen M., Raivio K., Koskela P., Vaheri A. Chlamydia trachomatis seropositivity during pregnancy is associated with perinatal complications. Clin Infect Dis. 1995 Aug;21(2):424–426. doi: 10.1093/clinids/21.2.424. [DOI] [PubMed] [Google Scholar]
- Harrison H. R., Riggin R. T. Infection of untreated primary human amnion monolayers with Chlamydia trachomatis. J Infect Dis. 1979 Dec;140(6):968–971. doi: 10.1093/infdis/140.6.968. [DOI] [PubMed] [Google Scholar]
- Hyypiä T., Larsen S. H., Ståhlberg T., Terho P. Analysis and detection of chlamydial DNA. J Gen Microbiol. 1984 Dec;130(12):3159–3164. doi: 10.1099/00221287-130-12-3159. [DOI] [PubMed] [Google Scholar]
- Koskiniemi M., Ammälä P., Närvänen A., Saikku P., Söderlund M., Koskela P., Laurila P., Vaheri A. Stillbirths and maternal antibodies to Chlamydia trachomatis. A new EIA test for serology. Acta Obstet Gynecol Scand. 1996 Aug;75(7):657–661. doi: 10.3109/00016349609054693. [DOI] [PubMed] [Google Scholar]
- Koskiniemi M., Mannonen L., Kallio A., Vaheri A. Luminometric microplate hybridization for detection of varicella-zoster virus PCR product from cerebrospinal fluid. J Virol Methods. 1997 Jan;63(1-2):71–79. doi: 10.1016/s0166-0934(96)02116-7. [DOI] [PubMed] [Google Scholar]
- Lan J., van den Brule A. J., Hemrika D. J., Risse E. K., Walboomers J. M., Schipper M. E., Meijer C. J. Chlamydia trachomatis and ectopic pregnancy: retrospective analysis of salpingectomy specimens, endometrial biopsies, and cervical smears. J Clin Pathol. 1995 Sep;48(9):815–819. doi: 10.1136/jcp.48.9.815. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mahony J. B., Luinstra K. E., Sellors J. W., Chernesky M. A. Comparison of plasmid- and chromosome-based polymerase chain reaction assays for detecting Chlamydia trachomatis nucleic acids. J Clin Microbiol. 1993 Jul;31(7):1753–1758. doi: 10.1128/jcm.31.7.1753-1758.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mahony J. B., Sellors J., Chernesky M. A. Detection of chlamydial inclusions in cell culture or biopsy tissue by alkaline phosphatase-anti-alkaline phosphatase staining. J Clin Microbiol. 1987 Oct;25(10):1864–1867. doi: 10.1128/jcm.25.10.1864-1867.1987. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martin D. H., Mroczkowski T. F., Dalu Z. A., McCarty J., Jones R. B., Hopkins S. J., Johnson R. B. A controlled trial of a single dose of azithromycin for the treatment of chlamydial urethritis and cervicitis. The Azithromycin for Chlamydial Infections Study Group. N Engl J Med. 1992 Sep 24;327(13):921–925. doi: 10.1056/NEJM199209243271304. [DOI] [PubMed] [Google Scholar]
- Roberts W., Grist N. R., Giroud P. Human abortion associated with infection by ovine abortion agent. Br Med J. 1967 Oct 7;4(5570):37–37. doi: 10.1136/bmj.4.5570.37. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Thorp J. M., Jr, Katz V. L., Fowler L. J., Kurtzman J. T., Bowes W. A., Jr Fetal death from chlamydial infection across intact amniotic membranes. Am J Obstet Gynecol. 1989 Nov;161(5):1245–1246. doi: 10.1016/0002-9378(89)90675-3. [DOI] [PubMed] [Google Scholar]
- Wilt J. C., Wilt P. C., Kordova N., Martin C. The human placenta as a possible reservoir of chlamydial infection in northern Canada. Can J Public Health. 1976 Mar-Apr;67(2):114–116. [PubMed] [Google Scholar]
- Witkin S. S., Jeremias J., Toth M., Ledger W. J. Proliferative response to conserved epitopes of the Chlamydia trachomatis and human 60-kilodalton heat-shock proteins by lymphocytes from women with salpingitis. Am J Obstet Gynecol. 1994 Aug;171(2):455–460. doi: 10.1016/0002-9378(94)90282-8. [DOI] [PubMed] [Google Scholar]