Nosocomial outbreak of group C meningococcal disease.
1989; BMJ; Volume: 298; Issue: 6673 Linguagem: Inglês
10.1136/bmj.298.6673.568-a
ISSN0959-8138
AutoresNIELS H. RIEWERTS ERIKSEN, F. Espersen, L S Laursen, Peter Skinhøj, Niels Høiby, Inga Lind,
Tópico(s)Bacterial Infections and Vaccines
ResumoWe report three cases of fetal arrhythmia resulting from excessive intake of caffeine by the mother during pregnancy. Case reportsCase I-The patient was a 26 year old woman (gravida 5, para 2).From 34 to 36 weeks of gestation preterm labour was successfully suppressed with fenoterol.Ten days later, when labour began spon- taneously, the fetal heart rhythm was totally irregular; it had previously been regular.She gave birth to a boy who weighed 3100 g; his Apgar score at 5 minutes was 8. Electrocardiography showed frequent blocked extrasystoles resulting in bradycardia.After three days the extrasystoles stopped without medical intervention.Chest radiography, echocardiography, and laboratory tests yielded normal results.The only remarkable finding was that the woman had drunk 10 cups of coffee (1500 ml) during the last hours before delivery.The baby's urine contained caffeine.Case 2-A 23 year old woman was admitted to this hospital at 40 weeks' gestation to deliver her first baby.The fetal heart beat was irregular, although three weeks previously it had been regular as measured by cardiotocography.Echocardiography of the fetal heart did not show any abnormalities.The woman told us that she had drunk 1 5 litres of cola a day during the past two weeks because of the hot weather.She delivered a girl who weighed 2680 g; the Apgar score at 5 minutes was 9.During and after delivery the fetal heart beat remained irregular.Postpartum electrocardiography showed frequent supraventricular extrasystoles.Laboratory tests yielded normal results.Over three days the arrhythmia gradually resolved.The baby's urine was not tested for caffeine.which four were group C:2a), whereas none of the 247 staff in the departments of infectious diseases and rheumatology were found to be group C carriers (p<005, X2 test) (table).All the C:2a strains among the isolates were resistant to sulphonamide.Swabs that
Referência(s)