Book of Medical Disorders in Pregnancy - Tintash
Book of Medical Disorders in Pregnancy - Tintash
Book of Medical Disorders in Pregnancy - Tintash
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Chapter No: 11<br />
Introduction:<br />
INFECTIONS IN PREGNANCY<br />
All <strong>in</strong>fections occurr<strong>in</strong>g <strong>in</strong> pregnancy can<br />
not be discussed <strong>in</strong> this chapter Specific<br />
bacterial <strong>in</strong>fections will be discussed <strong>in</strong> the<br />
chapters on different organs or tissues<br />
affected but the viral and worm <strong>in</strong>festations<br />
will be discussed separately <strong>in</strong> the preced<strong>in</strong>g<br />
chapters. General Pr<strong>in</strong>cipals <strong>of</strong> bacterial<br />
<strong>in</strong>fections are discussed here <strong>in</strong> this chapter<br />
with brief account <strong>of</strong> viral and worms<br />
affect<strong>in</strong>g human be<strong>in</strong>gs. Bacteria, viruses<br />
and other <strong>in</strong>fectious organisms —<br />
germs — live everywhere. You can f<strong>in</strong>d<br />
them <strong>in</strong> the air, on food, plants and<br />
animals, <strong>in</strong> the soil, <strong>in</strong> the water, and on<br />
just about every other surface —<br />
<strong>in</strong>clud<strong>in</strong>g your own body. These<br />
microbes range <strong>in</strong> size from microscopic<br />
s<strong>in</strong>gle-celled organisms to parasitic<br />
worms that can grow to several feet <strong>in</strong><br />
length.<br />
Most <strong>of</strong> these organisms won't harm<br />
you. Your immune system protects you<br />
aga<strong>in</strong>st a multitude <strong>of</strong> <strong>in</strong>fectious agents.<br />
However, some bacteria and viruses are<br />
formidable adversaries because they're<br />
constantly mutat<strong>in</strong>g to breach your<br />
immune system's defenses.<br />
Fig11.1: Shows bacteria under the<br />
microscope.<br />
148<br />
E. coli O157:H7 is a bacterium responsible<br />
for food borne <strong>in</strong>fections <strong>of</strong>ten<br />
l<strong>in</strong>ked to eat<strong>in</strong>g undercooked ground<br />
beef or improperly washed vegetables.<br />
Bacteria:<br />
Bacteria are one-celled organisms visible<br />
only with a microscope. They're so small<br />
that if you l<strong>in</strong>ed up a thousand <strong>of</strong> them<br />
end to end, they could fit across the end<br />
<strong>of</strong> a pencil eraser. They're shaped like<br />
short rods, spheres or spirals. Bacteria<br />
are self sufficient they don't need a host<br />
to reproduce and they multiply by<br />
subdivision.<br />
Among the earliest forms <strong>of</strong> life on<br />
earth, bacteria have evolved to thrive <strong>in</strong><br />
a variety <strong>of</strong> environments. Some can<br />
withstand sear<strong>in</strong>g heat or frigid cold, and<br />
others can survive radiation levels that<br />
would be lethal to humans. Many<br />
bacteria, however, prefer the mild<br />
environment <strong>of</strong> a healthy body.<br />
Not all bacteria are harmful. In fact, less<br />
than 1 percent cause disease, and some<br />
bacteria that live <strong>in</strong> your body are<br />
actually good for you. For <strong>in</strong>stance,<br />
Lactobacillus acidophilus — a harmless<br />
bacterium that resides <strong>in</strong> your <strong>in</strong>test<strong>in</strong>es<br />
— helps you digest food, destroys some<br />
disease caus<strong>in</strong>g organisms and provides<br />
nutrients to your body.<br />
But when <strong>in</strong>fectious bacteria enter your<br />
body, they can cause illness. They<br />
rapidly reproduce, and many produce<br />
tox<strong>in</strong>s — powerful chemicals that