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Serious Influence of Yersinia Enterocolitis on Pregnancy in a Woman Complicated With Chronic Hypertension and Gestational Diabetes Mellitus: A Case Report
| Hirobumi Asarkua*, Takehiko Fukami, Tomoko Inagaki and Naoko Tateyama | |
| Nippon Medical School, Musashikosugi Hospital, Obstetrics and gynecology, Kawasaki city, Kanagawa Prefecture, Japan | |
| Corresponding Author : | Hirobumi Asarkua Nippon Medical school, Musashikosugi Hospital Obstetrics and gynecology, 1-396 Kosugicho Nakaharaku Kawasaki city, Kanagawa Prefecture 211-8533, Japan Tel: 088 044 733 5182 E-mail: morgen@nms.ac.jp |
| Received November 11, 2014; Accepted February 12, 2015; Published February 16, 2015 | |
| Citation: Asarkua H, Fukami T, Inagaki T, Tateyama N (2015) Serious Influence of Yersinia Enterocolitis on Pregnancy in a Woman Complicated With Chronic Hypertension and Gestational Diabetes Mellitus: A Case Report. J Preg Child Health 2:135. doi: 10.4172/2376-127X.1000135 | |
| Copyright: © 2015 Asarkua H, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
A 40-year-old pregnant woman admitted into hospital to treat hypertension (HT) and gestational diabetes at 19 weeks of gestation. She contracted enterocolitis due to the foodborne pathogen Yersinia enterocolitica (YE) at 22 weeks of gestation. Hypoalbuminemia and ascites developed due to prolonged intractable diarrhea and vomiting. Since 25 weeks of gestation, marked albuminuria appeared and blood pressure gradually elevated. Fetal growth was found to be retarded. Cesarean section for non-reassuring fetal status was performed at 27 weeks 2 days, delivering a 641 gr boy (-2.9 SD from averaged neonatal body weights compatible with the gestational weeks, Apgar score 3/8 at1/5min.). Gastrointestinal symptoms and ascites resolved within 1 week of delivery. This represents the first report of YE infection seriously affecting perinatal prognosis.
