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Peer-reviewedCC BY-NCJournal of family & reproductive health

Edwardsiella tarda Bacteremia in Early Pregnancy Complicated by Maternal Sepsis and Intrauterine Fetal Demise: A Case Report.

  • Uday Modi1
  • Nitin Gupta2
  • Muralidhar Varma2
  • Akhila Vasudeva3
  • Praveen Kumar Tirlangi2
  1. 1Department of General Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
  2. 2Department of Infectious Diseases, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
  3. 3Department of Obstetrics and Gynecology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
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Abstract

Objective

To report a rare case of Edwardsiella tarda bacteremia in early pregnancy complicated by maternal sepsis, sepsis-induced coagulopathy, acute kidney injury, and intrauterine fetal demise.Case report

A 32-year-old woman at 13 weeks of gestation presented with sudden-onset high-grade fever, abdominal pain, and vaginal bleeding shortly after consuming freshwater fish. She had no preceding diarrhea or vomiting. During hospitalization, she developed persistent fever, anemia, thrombocytopenia, acute kidney injury, and coagulopathy, with a sepsis-induced coagulopathy score of 5. Obstetric ultrasonography confirmed absence of fetal cardiac activity, and emergency vacuum aspiration was performed. Blood cultures grew Edwardsiella tarda, while stool cultures were sterile. She was treated with intravenous piperacillin-tazobactam, fluid resuscitation, oxygen supplementation, and blood transfusion. Her fever subsided, renal function and coagulation parameters normalized, and she was discharged in stable condition.Conclusion

Invasive Edwardsiella tarda infection during pregnancy is extremely uncommon but may cause severe maternal sepsis and adverse fetal outcome even without gastrointestinal symptoms. Recent freshwater fish exposure may provide an important diagnostic clue. Early blood culture sampling, prompt antimicrobial therapy, and supportive care are essential for maternal recovery.

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Cite

BibTeXRIS
BibTeX
@article{modi2026edwardsiella,
  title = {{Edwardsiella tarda Bacteremia in Early Pregnancy Complicated by Maternal Sepsis and Intrauterine Fetal Demise: A Case Report.}},
  author = {Uday Modi and Nitin Gupta and Muralidhar Varma and Akhila Vasudeva and Praveen Kumar Tirlangi},
  journal = {Journal of family \& reproductive health},
  year = {2026},
  month = jun,
  doi = {10.18502/jfrh.v20i2.22616},
  url = {https://europepmc.org/article/MED/42923833},
  note = {CC BY-NC},
}
RIS
TY  - JOUR
TI  - Edwardsiella tarda Bacteremia in Early Pregnancy Complicated by Maternal Sepsis and Intrauterine Fetal Demise: A Case Report.
AU  - Uday Modi
AU  - Nitin Gupta
AU  - Muralidhar Varma
AU  - Akhila Vasudeva
AU  - Praveen Kumar Tirlangi
PY  - 2026
DA  - 2026/06/01
JO  - Journal of family & reproductive health
DO  - 10.18502/jfrh.v20i2.22616
UR  - https://europepmc.org/article/MED/42923833
AB  - Objective  To report a rare case of Edwardsiella tarda bacteremia in early pregnancy complicated by maternal sepsis, sepsis-induced coagulopathy, acute kidney injury, and intrauterine fetal demise.Case report  A 32-year-old woman at 13 weeks of gestation presented with sudden-onset high-grade fever, abdominal pain, and vaginal bleeding shortly after consuming freshwater fish. She had no preceding diarrhea or vomiting. During hospitalization, she developed persistent fever, anemia, thrombocytopenia, acute kidney injury, and coagulopathy, with a sepsis-induced coagulopathy score of 5. Obstetric ultrasonography confirmed absence of fetal cardiac activity, and emergency vacuum aspiration was performed. Blood cultures grew Edwardsiella tarda, while stool cultures were sterile. She was treated with intravenous piperacillin-tazobactam, fluid resuscitation, oxygen supplementation, and blood transfusion. Her fever subsided, renal function and coagulation parameters normalized, and she was discharged in stable condition.Conclusion  Invasive Edwardsiella tarda infection during pregnancy is extremely uncommon but may cause severe maternal sepsis and adverse fetal outcome even without gastrointestinal symptoms. Recent freshwater fish exposure may provide an important diagnostic clue. Early blood culture sampling, prompt antimicrobial therapy, and supportive care are essential for maternal recovery.
SN  - 1735-8949
SN  - 1735-9392
ER  -