Журнал бактериологии и паразитологии

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Recurrent fever in a healthy 30-year-old pregnant woman

Jonathan Stanley, John Gilfoose, Matthew Simmons, Rocco Lasala P. and Catherine Moffett

A 30-year-old woman at 34 weeks' gestation presented with a 3-day history of fever accompanied by chills, nausea, and vomiting. Her blood pressure was normal; there was no febrile tachycardia. On admission, her white blood cell count was 4.4 × 103/μL with 3% bands and 74% neutrophils, her hemoglobin was 11.0 g/dL, and her platelet count was 63 × 109/L. Her human immunodeficiency virus test was negative. On day 2 of admission, her temperature rose to 38.8°C, resulting in fetal bradycardia, requiring emergency cesarean section. A healthy boy was born. The hematoxylin and eosin-stained placenta preparation is shown in Figure 1. What is your diagnosis?