32-week premature rupture of membranes caused by oropharyngeal microbiota

Preterm premature rupture of membranes (PPROM) usually has a multifactorial etiology that is often unknown, although the most frequently reported cause is infection by group B . Therefore, the etiology of PPROM, although probably infectious, remains unknown in most cases. This case describes a PPROM...

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Bibliographic Details
Published in:JMM Case Reports (Online) 2017-10, Vol.4 (10), p.e005121
Main Authors: Hidalgo-Chicharro, Alberto, Abad-Torreblanca, Raquel, Navarro-Marí, José María, Gutiérrez-Fernández, José
Format: Article
Language:English
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Case Report
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Summary:Preterm premature rupture of membranes (PPROM) usually has a multifactorial etiology that is often unknown, although the most frequently reported cause is infection by group B . Therefore, the etiology of PPROM, although probably infectious, remains unknown in most cases. This case describes a PPROM caused by infection from oropharyngeal microbiota. We report the case of a 26-yr-old pregnant woman. The gestational age was 32 weeks+5 days. Examinations in the emergency department revealed the release of clear amniotic fluid and a closed multiparous cervix with a length of 22 mm. Endocervical culture evidenced the growth of , serogroup B and . Preventive antibiotic therapy should consider: opportunistic infections by normal genital microbiota, infections due to sexual activity, opportunist microorganisms derived from oral sex, and the hematogenous spread of oral bacteria.
ISSN:2053-3721
2053-3721
DOI:10.1099/jmmcr.0.005121