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A 30-year-old primigravida was admitted to the hospital in active spontaneous labor at 39.7 weeks' gestation.
The patient had received prenatal care at this hospital since 11.1 weeks' gestation. She had been well. She had had varicella and had received bacille Calmette–Guérin (BCG) vaccine as a child. Four years earlier, a tuberculin skin test had been positive, and a chest radiograph had been negative; she had received antituberculosis medication for 6 months. There was no history of sexually transmitted diseases, and she did not smoke cigarettes, drink alcohol, or use intravenous drugs. She was born and raised in West Africa
Differential Diagnosis
Infectious Causes of Stillbirth
Group B Streptococcal Infection
Clinical Diagnosis
Dr. Ronald S. Gibbs's Diagnosis
Pathological Discussion
Anatomical Diagnosis
Source Information
From the Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Denver (R.S.G.); the Department of Pathology, Massachusetts General Hospital, Boston (D.J.R.); and the Department of Pathology, Harvard Medical School, Boston (D.J.R.).
Related Letters:
Case 27-2007: Intrauterine Fetal Death
Chambliss L. R., Gibbs R. S.
Extract |
Full Text |
PDF
N Engl J Med 2007;
357:2310, Nov 29, 2007.
Correspondence
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