Cited by 300Oral microbiology and periodontitis researchPreterm Birth and ChorioamnionitisNeonatal and Maternal Infections

Term Stillbirth Caused by Oral Fusobacterium nucleatum

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Han, Yiping W., Fardini, Yann, Chen, Casey, Iacampo, Karla G., Peraino, Victoria A., Shamonki, Jaime M., Redline, Raymond W.·2010·Obstetrics & Gynecology

Abstract

BACKGROUND: Intrauterine infection is a recognized cause of adverse pregnancy outcome, but the source of infection is often undetermined. We report a case of stillbirth caused by Fusobacterium nucleatum that originated in the mother's mouth. CASE: A woman with pregnancy-associated gingivitis experienced an upper respiratory tract infection at term, followed by stillbirth a few days later. F. nucleatum was isolated from the placenta and the fetus. Examination of different microbial floras from the mother identified the same clone in her subgingival plaque but not in the supragingival plaque, vagina, or rectum. CONCLUSION: F. nucleatum may have translocated from the mother's mouth to the uterus when the immune system was weakened during the respiratory infection. This case sheds light on patient management for those with pregnancy-associated gingivitis.

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Authors
Han, Y. W., Fardini, Y., Chen, C., Iacampo, K. G., Peraino, V. A., Shamonki, J. M., & Redline, R. W.
Affiliations
University of Southern California (US)
Corresponding author
Han, Yiping W.
Venue
Obstetrics & Gynecology
Published
2010-02
Volume
115
Issue
2
Pages
442-445
ISSN
0029-7844 (ISSN-L)
OpenAlex
W1965018174
Cited by
289
References
9
Citations by year
2026: 9 · 2025: 11 · 2024: 13 · 2023: 24 · 2022: 27 · 2021: 23 · 2020: 23 · 2019: 23 · 2018: 17 · 2017: 14 · 2016: 20 · 2015: 19 · 2014: 15 · 2013: 15 · 2012: 14
FWCI
18.38
Type
journal article
Language
en
Open access
Locations
  • Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Dental and Craniofacial Research (K02DE016102, KO2DE16102, R21 DE171650, R01DE014924, R21DE017165, R01DE14924)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Epidemiology › Preterm Birth and Chorioamnionitis
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
Keywords
Fusobacterium nucleatum, intrauterine infection, bacterial translocation, upper respiratory tract infection, placental infection, adverse pregnancy outcomes
MeSH terms
Adult, Chorioamnionitis, Female, Focal Infection, Dental, Fusobacterium Infections, Gingivitis, Humans, Pregnancy, Uterus, Polymerase Chain Reaction, Fusobacterium nucleatum, Term Birth, Stillbirth

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