Chorioamnionitis with intact membranes caused by Capnocytophaga sputigena

We report a case of chorioamnionitis with intact membranes caused by Capnoc ytophaga sputigena. The pregnant woman was hospitalised in preterm labor wi thout fever, neither tenderness, just regular contractions. In spite of the tocolitic treatment the patient gave birth to a girl at 29 weeks' gestatio n, weighing 1220 g and transferred to intensive care. The newborn had clini cal and biological signs of infections and was initially treated by Ampicil lin, cephalosporin and metronidazol. Capnocyrophaga sputigena was found on membranes, cord, amniotic fluid and placenta. It was also identified in mat ernal endocervix culture. Histologic findings showed a focal chorioamnionit is. This was the fourteenth reported case of infection due to Capnocytophag a species occurring in pregnancy. All the cases are reviewed. (C) 1999 Else vier Science Ireland Ltd. All rights reserved.