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Correspondence
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Volume 348:668-669 February 13, 2003 Number 7
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A Rare Case of Serratia Sepsis and Spontaneous Abortion

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To the Editor: In pregnancy, sepsis is a potentially severe threat to both mother and fetus. We describe a case of Serratia marcescens chorioamnionitis associated with bacteremia and spontaneous abortion.

A 38-year-old woman (gravida 1, para 0) with a 19-week intrauterine pregnancy presented with a history of intermittent fevers (a temperature of up to 103°F [39.4°C]) for three weeks. Her only other symptom before admission was malaise. A physical examination was unremarkable except for an appropriately gravid abdomen. The findings on gynecologic examination were normal and included intact membranes. Laboratory studies revealed a white-cell count of 24,700 per cubic millimeter, . . . [Full Text of this Article]


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