Journal of obstetrics and gynaecology research · 1997 · 42 citations · 11 references
MedicineInfectious DiseasesObstetricsHigh-risk PregnancyMedical MicrobiologyParasitologyFetal Infection DiagnosisMaternal Medical Complications In PregnancyMaternal Medical ConditionsMedical ParasitologyPerinatal InfectionRickettsial DiseasesMaternal-child TransmissionPregnancy-associated RickettsiosesRickettsia Typhi InfectionScrub TyphusTyphus Group RickettsiosesVertical Transmission Control
Scrub typhus is a rickettsian disease which is seldom found in pregnancy. A 31-year-old, 34 weeks pregnant woman presented with fever, chill and cough for 6 weeks. Fetal jeopardy was found then a cesarean section was performed to deliver a 2,200 g male with hepatosplenomegaly. The mother's diagnosis was confirmed by positive Weil-Felix (OXK titer 1:320) and scrub typhus (titer 1:1600) tests. Vertical transmission was also demonstrated by a positive scrub typhus IgM in her child.
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