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Case Records of the Massachusetts General Hospital
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Volume 357:918-925 August 30, 2007 Number 9
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Case 27-2007 — A 30-Year-Old Pregnant Woman with Intrauterine Fetal Death
Ronald S. Gibbs, M.D., and Drucilla J. Roberts, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

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 . . . [Full Text of this Article]

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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