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Infections

  • Chapter
Placenta

Part of the book series: Handbuch der Speziellen Pathologischen Anatomie und Histologie ((SPEZIELLEN,volume 7/5))

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Abstract

Placental infections are significant at all stages of pregnancy. Septic abortions follow introduction of bacteria into the uterus, by manipulation or by dissemination from other regions (vide infra). Bacterial infection of the placenta incurred during the second trimester is often followed by spontaneous delivery of an extremely immature fetus, whose death during or soon after birth cannot be averted. While some of these infections are induced by uterine instrumentation, many occur spontaneously, and often the precise pathogenetic mechanisms are not recognized. The rare fungous infections of the uterine contents during pregnancy appear to parallel those due to bacteria, in both pathogenesis and consequences. Authentic viral infection of the young conceptus, an uncommon complication of maternal viremic disease, may be teratogenic or even abortigenic. These agents also induce intrauterine infections during later pregnancy, involving placenta and fetus, and often with clinical manifestations which are unique to this period of life. Among parasitic diseases, toxoplasmosis is the most widely known cause of placental infections occuring in early and late pregnancy. While the possible pathogens to the placenta are legion and their effects varied, bacterial infections overshadow all the others in frequency and clinical significance.

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Strauss, F., Benirschke, K., Driscoll, S.G. (1967). Infections. In: Strauss, F., Benirschke, K., Driscoll, S.G. (eds) Placenta. Handbuch der Speziellen Pathologischen Anatomie und Histologie, vol 7/5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-25615-2_10

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