{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,9]],"date-time":"2024-03-09T12:36:37Z","timestamp":1709987797125},"reference-count":31,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2020,12,17]],"date-time":"2020-12-17T00:00:00Z","timestamp":1608163200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Several <jats:italic>Serratia<\/jats:italic> species are widely distributed in nature, but <jats:italic>Serratia marcescens<\/jats:italic> is the only species frequently isolated in hospitals. This pathogen is mainly responsible for nosocomial infection, mostly in immunocompromised hosts. A 26-year-old woman with a twin pregnancy, regularly controlled, was hospitalized at 24 + 5 weeks of gestation due to scant vaginal bleeding, lower abdominal pain, and body temperature up to 37.5\u00b0C. Gynecological examination revealed bleeding accompanied by dilatation of the cervix. The laboratory analyses revealed leukocytosis with elevated C-reactive protein (CRP). Treatment was initiated with intravenous antibiotic administration. After admission, fetal membranes spontaneously ruptured, and an extremely preterm dichorionic female twin birth occurred at 25 + 0 weeks of gestation. Both infants died two days after labor. Pathological and microbiological analyses revealed chorioamnionitis caused by <jats:italic>S. marcescens<\/jats:italic>. According to the antibiogram, antibiotic treatment was continued for the next 7 days. The examination of cervical and vaginal discharge samples was negative three days and two weeks after therapy. <jats:italic>S. marcescens<\/jats:italic> may cause spontaneous miscarriages and, in this important case, caused loss of discordant twins in an extremely preterm birth by an immunocompetent patient. Infection by <jats:italic>S. marcescens<\/jats:italic> cannot be excluded as a cause of discordant growth and needs to be confirmed by further research.<\/jats:p>","DOI":"10.1515\/med-2021-0205","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T12:08:42Z","timestamp":1608638922000},"page":"81-86","source":"Crossref","is-referenced-by-count":2,"title":["<i>Serratia marcescens<\/i> as a cause of unfavorable outcome in the twin pregnancy"],"prefix":"10.1515","volume":"16","author":[{"given":"Du\u0161ko","family":"Kljaki\u0107","sequence":"first","affiliation":[{"name":"Department of Gynecology, General Hospital Bar , Bar , Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milo\u0161 Z.","family":"Milosavljevi\u0107","sequence":"additional","affiliation":[{"name":"Department of Pathology, University Medical Center Kragujevac , Kragujevac , Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Jovanovi\u0107","sequence":"additional","affiliation":[{"name":"Clinic for Infectious Diseases, Clinical Center of Montenegro , Podgorica , Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vesna \u010colakovi\u0107","family":"Popovi\u0107","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology and Obstetrics, Clinical Center of Montenegro , Podgorica , Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sa\u0161a","family":"Rai\u010devi\u0107","sequence":"additional","affiliation":[{"name":"Clinic of Gynecology and Obstetrics, Clinical Center of Montenegro , Podgorica , Montenegro"},{"name":"Medical faculty, University of Montenegro , Podgorica , Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2020,12,17]]},"reference":[{"key":"2022091918202960164_j_med-2021-0205_ref_001","doi-asserted-by":"crossref","unstructured":"Donnenberg MS. 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