Background:

Acinetobacter baumannii is a non-fermentative gram-negative coccobacillus, with a broad spectrum of resistance to antibiotics. There is a relationship between the colonization of the bacteria and complications in the pregnancy, among which are: cord vasculitis, alterations in Wharton gelatin, low birth weight and preterm delivery.

Clinical case:

A pregnant woman of 21 weeks of gestation with unquantified fever, abdominal pain in hypogastrium associated with dysuria, bladder tenesmus and one-month-old urinary frequency; urine culture was performed by bladder catheter and processed in an automated MicroScan AutoSCAN-4®, which was positive for Acinetobacter baumannii, with colony counts greater than 100,000 CFU/mL. Due to the clinical picture, contact isolation, control and close maternal-fetal treatment were performed with satisfactory institutional discharge. The patient entered 15 weeks after the previous admission with urinary symptoms, grade III fetal pattern and altered blood biochemistry, whereby she underwent surgery, obtaining a premature birth which was treated with antimicrobial therapy.

Conclusion:

Acinetobacter baumannii infections during pregnancy are rare, however is associated with an increase in maternal-fetal morbidity, and delays in the administration are associated with increased maternal-fetal mortality.

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