2024 Volume 60 Issue 1 Pages 127-131
Patients with bacteremia due to Edwardsiella tarda have a poor prognosis with a fatality rate of about 50%. In pregnant women, E. tarda bacteremia is a serious infection that affects the mother and is vertically transmitted to the fetus or neonate. We report a 33-year-old primipara woman who received labor induction for oligohydramnios at 39 weeks of gestation. The patient had fever and non-reassuring fetal status was detected on cardiotocogram. She underwent emergency cesarean section. E. tarda was isolated from blood culture taken at the time of the fever. The mother was treated with antimicrobial agents and became afebrile. The newborn was born without asphyxia and was treated with antimicrobial agents immediately after birth based on suspected severe cholioamnionitis. The infant’s blood and cerebrospinal fluid cultures were negative. Pathological findings of the placenta showed acute chorioamnionitis and corditis. Based on our literature review, this is the fourth case of E. tarda bacteremia reported in pregnant women. In the previous three cases, the fetus or neonate died or developed central nervous system diseases, whereas in the present case, prompt administration of antimicrobial agents was able to control the infection in the infant. To our knowledge, this case is the first report of successful treatment of both mother and child without sequelae.
