ABSTRACT
We report a case that presents clear evidence of an intrauterine infection of twin
fetuses with an enterovirus. The mother had signs and symptoms of chorioamniotitis
at 34 weeks' gestation. Coxsackie virus, group B type 1 (CVB1), was cultured from
amniotic fluid obtained by transabdominal amniocentesis when the membranes of both
fetuses were still intact. Delivery occurred vaginally approximately 24 hours later,
following spontaneous rupture of membranes. At birth, both twins showed signs of sepsis.
Postpartum, CVB1 was recovered from the mother's cervix, and the newborns' cerebrospinal
fluid, nasopharyngeal, and rectal swabs. The present significance of this case is
discussed.
Keywords
Chorioamnionitis - enterovirus - Coxsackie virus - intrauterine infection