{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:13:06Z","timestamp":1790709186195,"version":"4.1.0"},"reference-count":13,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,7,6]]},"abstract":"<jats:p><jats:italic>Shigella<\/jats:italic> is a major cause of dysentery worldwide. Only a few cases of shigellosis during pregnancy have been reported. However, the neonatal and obstetric complications are potentially severe. The objective of this study was to describe the obstetric and neonatal complications of shigellosis during pregnancy. We carried out a retrospective study of 37 cases of shigellosis diagnosed in pregnant women at the maternity unit of Saint-Laurent du Maroni Hospital in west French Guiana between 2000 and 2014. Shigellosis diagnosis was based on the detection of <jats:italic>Shigella<\/jats:italic> in stool cultures from pregnant women (34 patients) or in a neonatal sample collected immediately after delivery (three neonates). In addition to the classic symptoms of shigellosis\u2014an association of diarrhea, fever, and abdominal pain\u2014we observed uterine contractions before the completion of 37 weeks of gestation in 61% of patients (<jats:italic>N<\/jats:italic> = 17\/28). Cervical changes were associated with uterine contractions in 82% of cases (<jats:italic>N<\/jats:italic> = 14\/17); 25% of the patients at risk of preterm birth went on to give birth prematurely (<jats:italic>N<\/jats:italic> = 3\/12). Three cases of mother-to-child transmission were observed. Episodes of shigellosis in pregnant women may trigger uterine contractions and changes to the cervix, potentially resulting in miscarriage or preterm birth.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0669","type":"journal-article","created":{"date-parts":[[2016,4,26]],"date-time":"2016-04-26T02:54:25Z","timestamp":1461639265000},"page":"26-30","source":"Crossref","is-referenced-by-count":8,"title":["Shigellosis and Pregnancy in French Guiana: Obstetric and Neonatal Complications"],"prefix":"10.4269","volume":"95","author":[{"given":"Micha\u00ebl","family":"Parisot","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Franck Joly Hospital, Saint-Laurent du Maroni, French Guiana, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Jolivet","sequence":"additional","affiliation":[{"name":"Department of Public Health, Franck Joly Hospital, Saint-Laurent du Maroni, French Guiana, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachida","family":"Boukhari","sequence":"additional","affiliation":[{"name":"Department of Clinical Biology, Franck Joly Hospital, Saint-Laurent du Maroni, French Guiana, France."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Carles","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Franck Joly Hospital, Saint-Laurent du Maroni, French Guiana, France."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"PLoS Med","first-page":"e353","article-title":"A multicentre study of Shigella diarrhoea in six Asian countries: disease burden, clinical manifestations, and microbiology","volume":"3","author":"von Seidlein","year":"2006"},{"key":"ref2","series-title":"Population selon le sexe et l'\u00e2ge au 1er janvier","author":"INSEE","year":"2012"},{"key":"ref3","series-title":"Arch 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pregnancy","volume":"31","author":"Carles","year":"2002"},{"key":"ref13","series-title":"Guidelines for the control of shigellosis, including epidemics due to Shigella dysenteriae","author":"World Health Organization","year":"2005"}],"container-title":["The American Society of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/95\/1\/article-p26.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/95\/1\/article-p26.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/95\/1\/article-p26.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:01:43Z","timestamp":1723068103000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/95\/1\/article-p26.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,6]]},"references-count":13,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.15-0669","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,6]]}}}