Publicado nov 30, 2022



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Mercedes Olaya Contreras https://orcid.org/0000-0002-7147-425X

Beatriz Elena Caicedo Marmolejo https://orcid.org/0000-0002-7441-7832

##plugins.themes.bootstrap3.article.details##

Resumen

La corioamnionitis se ha relacionados con desenlaces desfavorables en el período prenatal y neonatal (abortos, parto pretérmino, sepsis neonatal, entre otros), además de implicaciones a largo plazo en la infancia, tales como alteraciones en el coeficiente intelectual. Por esta razón es de vital importancia el diagnóstico histopatológico oportuno. En este artículo se revisará el abordaje histopatológico de la corioamnionitis, su estadificación e implicaciones clínicas.

Keywords

ascending intra-amniotic infection, clinical chorioamnionitis, microbial invasion of the amniotic cavity, pathologic grading, placental pathologysepsis, corioamnionitis, funisitis, agentes infecciosos, neonato

References
1. Kim CJ, Romero R, Chaemsaithong P, Chaiyasit N, Yoon BH, Kim YM. Acute chorioamnionitis and funisitis: definition, pathologic features, and clinical significance. Am J Obstetr Gynecol. 2015;213(4):S29-S52. https://doi.org/10.1016/j.ajog.2015.08.040

2. Tita A. Intra-amniotic infection (clinical chorioamnionitis or triple I). UpToDate [internet]. 2019. Disponible en: https://www-uptodate-com.ezproxy.javeriana.edu.co/contents/intra-amniotic-infection-clinical-chorioamnionitis-or-triple-i?search=corioamnionitis&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

3. Romero R, Chaemsaithong P, Docheva N, Korzeniewski S, Kusanovic J, Yoon B, et al. Clinical chorioamnionitis at term VI: Acute chorioamnionitis and funisitis according to the presence or absence of microorganisms and inflammation in the amniotic cavity. J Perinatal Med. 2016;44(1):33-51. https://doi.org/10.1515/jpm-2015-0119

4. Mendoza OE, Briceño Palomino F, Ramos Franco N, Rodríguez Guerra D, Rodríguez Niño N. Corioamnionitis. Repert Med Cir. 2013;22(4):248-56.

5. Redline RW. Inflammatory response in acute chorioamnionitis. Semin Fetal Neonatal Med. 2012;17(1):20-25. https://doi.org/10.1016/j.siny.2011.08.003

6. Mahe E, Hamid J, Terry J, Jansen JW, Bourgeois J, Arredondo-Marin J. Frozen section of placental membranes and umbilical cord: an aid to early postpartum diagnosis of intra-amniotic infection. Am J Clin Pathol. 2014;142(2):202-8. https://doi.org/10.1309/AJCPYN70DLUFFDVP

7. Mendoza O, Arias D, Rojas JL, Gómez J, Hernández K, Castro D, et al. Corioamnionitis en biopsia por congelación de placentas en pacientes con riesgo de infección y su relación con morbimortalidad del recién nacido. Repert Med Cir. 2014;23(2):134-8. https://doi.org/10.31260/RepertMedCir.v23.n2.2014.728

8. Menon R, Taylor RN, Fortunato SJ. Chorioamnionitis: a complex pathophysiologic syndrome. Placenta. 2010;31(2):113-20. https://doi.org/10.1016/j.placenta.2009.11.012

9. Rincón Ricote MI, Magdaleno Dans F, Sancha Naranjo M, Omeñaca Teres F, González González A. Corioamnionitis histológica y morbimortalidad neonatal: aproximación al síndrome de respuesta inflamatoria fetal. Rev Chil Obstetr Ginecol. 2010;75(3):172-8. https://doi.org/10.4067/S0717-75262010000300005

10. Strunk T, Doherty D, Jacques A, Simmer K, Richmond P, Kohan R, Charles A, Burgner D. Histologic chorioamnionitis is associated with reduced risk of late-onset sepsis in preterm infants. Pediatrics. 2012;129(1):e134-41. https://doi.org/10.1542/peds.2010-3493

11. Redline RW, Faye-Petersen O, Heller D, Qureshi F, Savell V, Vogler C. Amniotic infection syndrome: nosology and reproducibility of placental reaction patterns. Pediatr Dev Pathol. 2003;6(5):435-48. https://doi.org/10.1007/s10024-003-7070-y

12. Redline RW. Correlation of placental pathology with perinatal brain injury. Surg Pathol Clin. 2013;6(1):153-80. https://doi.org/10.1016/j.path.2012.11.005

13. Saunders-Hastings P, Crispo JAG, Sikora L, Krewski D. Effectiveness of personal protective measures in reducing pandemic influenza transmission: a systematic review and meta-analysis. Epidemics. 2017;20:1-20. https://doi.org/10.1016/j.epidem.2017.04.003

14. Olaya-Contreras M. Lo que las placentas dicen pero nadie quiere escuchar. Univ Méd. 2014;55(1):18-27. https://doi.org/10.11144/Javeriana.umed55-1.qpdp

15. Olaya-Contreras M, Vargas-Moreno W, Bernal-Villegas JE. Una aproximación desde la física a las consecuencias patológicas de la longitud excesiva del cordón umbilical. Rev Colomb Obstet Ginecol. 2015;66(1):53-60. https://doi.org/10.18597/rcog.8

16. Horn LC, Langner A, Stiehl P, Wittekind C, Faber R. Identification of the causes of intrauterine death during 310 consecutive autopsies. Eur J Obstet Gynecol Reproduct Biol. 2004;113(2):134-8. https://doi.org/10.1016/S0301-2115(03)00371-3

17. Familari M, Nääv Å, Erlandsson L, de Iongh RU, Isaxon C, Strandberg B, et al. Exposure of trophoblast cells to fine particulate matter air pollution leads to growth inhibition, inflammation and ER stress. PLoS One. 2019;14(7):e0218799. https://doi.org/10.1371/journal.pone.0218799

18. Menon R, Fortunato SJ, Yu J, Milne GL, Sanchez S, Drobek CO, et al. Cigarette smoke induces oxidative stress and apoptosis in normal term fetal membranes. Placenta. 2011;32(4):317-22. https://doi.org/10.1016/j.placenta.2011.01.015

19. Menon R, Richardson LS, Lappas M. Fetal membrane architecture, aging and inflammation in pregnancy and parturition. Placenta. 2019;79:40-5. https://doi.org/10.1016/j.placenta.2018.11.003

20. PrabhuDas M, Bonney E, Caron K, Dey S, Erlebacher A, Fazleabas A, et al. Immune mechanisms at the maternal-fetal interface: perspectives and challenges. Nat Immunol. 2015;16(4):328-34. https://doi.org/10.1038/ni.3131

21. Nancy P, Tagliani E, Tay CS, Asp P, Levy DE, Erlebacher A. Chemokine gene silencing in decidual stromal cells limits T cell access to the maternal-fetal interface. Science (1979). 2012;336(6086):1317-21. https://doi.org/10.1126/science.1220030

22. Heerema-McKenney A. Defense and infection of the human placenta. APMIS. 2018;126(7):570-88. https://doi.org/10.1111/apm.12847

23. Arenas-Hernández M, Gómez-López N, García-Flores V, et al. Choriodecidual leukocytes display a unique gene expression signature in spontaneous labor at term. Gen Immun. 2019;20(1):56-68. https://doi.org/10.1038/s41435-017-0010-z

24. Gómez-López N, StLouis D, Lehr MA, Sánchez-Rodríguez EN, Arenas-Hernández M. Immune cells in term and preterm labor. Cell Mol Immunol. 2014;11(6):571-81. https://doi.org/10.1038/cmi.2014.46

25. Mor G, Kwon JY. Trophoblast-microbiome interaction: a new paradigm on immune regulation. Am J Obstet Gynecol. 2015;213(4):S131-7. https://doi.org/10.1016/j.ajog.2015.06.039

26. King AE, Kelly RW, Sallenave JM, Bocking AD, Challis JRG. Innate immune defenses in the human uterus during pregnancy. Placenta. 2007;28(11-12):1099-1106. https://doi.org/10.1016/j.placenta.2007.06.002

27. Presicce P, Park CW, Senthamaraikannan P, Bhattacharyya S, Jackson C, Kong F, et al. IL-1 signaling mediates intrauterine inflammation and chorio-decidua neutrophil recruitment and activation. JCI Insight. 2018;3(6). https://doi.org/10.1172/jci.insight.98306

28. Cappelletti M, Presicce P, Kallapur SG. Immunobiology of acute chorioamnionitis. Front Immunol. 2020;11. https://doi.org/10.3389/fimmu.2020.00649

29. Romero R, Espinoza J, Kusanovic JP, Gotsch F, Hassan S, Erez O, et al. The preterm parturition syndrome. BJOG: An Int J Obstet Gynaecol. 2006;113(suppl. 3):17-42. https://doi.org/10.1111/j.1471-0528.2006.01120.x

30. Leviton A, Allred EN, Kuban KCK, et al. Microbiologic and histologic characteristics of the extremely preterm infant’s placenta predict white matter damage and later cerebral palsy: the ELGAN study. Pediat Res. 2010;67(1):95-101. https://doi.org/10.1203/PDR.0b013e3181bf5fab

31. Blanc WA. Pathology of the placenta and cord in ascending and in haematogenous infection. Ciba Found Symp. 1979;(77):17-38. https://doi.org/10.1002/9780470720608.ch3

32. DiGiulio DB, Callahan BJ, McMurdie PJ, et al. Temporal and spatial variation of the human microbiota during pregnancy. Proc Natl Acad Sci U S A. 2015;112(35):11060-5. https://doi.org/10.1073/pnas.1502875112

33. López-Osma FA, Ordóñez-Sánchez SA. Premature rupture of fetal membranes: from the physiopathology to the early markers of the disease. Rev Colomb Obstet Ginecol. 2006;(57):279-90.

34. Steel JH, Malatos S, Kennea N, Edwards AD, Miles L, Duggan P, et al. Bacteria and inflammatory cells in fetal membranes do not always cause preterm labor. Pediatr Res. 2005;57(3):404-11. https://doi.org/10.1203/01.PDR.0000153869.96337.90

35. Goldenberg RL, Andrews WW, Hauth JC. Choriodecidual infection and preterm birth. Nutr Rev. 2002;60(suppl_5):S19-S25. https://doi.org/10.1301/00296640260130696

36. Gellin BG, Broome CV, Bibb WF, Weaver RE, Gaventa S, Mascola L. The epidemiology of listeriosis in the United States—1986. Am J Epidemiol. 1991;133(4):392-401. https://doi.org/10.1093/oxfordjournals.aje.a115893

37. Tabata T, Petitt M, Puerta-Guardo H, Michlmayr D, Wang C, Fang-Hoover J, et al. Zika virus targets different primary human placental cells, suggesting two routes for vertical transmission. Cell Host Microbe. 2016;20(2):155-66. https://doi.org/10.1016/j.chom.2016.07.002

38. Mysorekar IU, Diamond MS. Modeling zika virus infection in pregnancy. New Engl J Med. 2016;375(5):481-4. https://doi.org/10.1056/NEJMcibr1605445

39. Arora N, Sadovsky Y, Dermody TS, Coyne CB. Microbial vertical transmission during human pregnancy. Cell Host Microbe. 2017;21(5):561-7. https://doi.org/10.1016/j.chom.2017.04.007

40. Stegmann BJ, Carey JC. TORCH infections: toxoplasmosis, other (syphilis, varicella-zoster, parvovirus B19), rubella, cytomegalovirus (CMV), and herpes infections. Curr Womens Health Rep. 2002;2(4):253-8.

41. Sweeney EL, Dando SJ, Kallapur SG, Knox CL. The human Ureaplasma species as causative agents of chorioamnionitis. Clin Microbiol Rev. 2017;30(1):349-79. https://doi.org/10.1128/CMR.00091-16

42. Regan JA, Klebanoff MA, Nugent RP. The epidemiology of group B streptococcal colonization in pregnancy: Vaginal Infections and Prematurity Study Group. Obstet Gynecol. 1991;77(4):604-10.

43. DiGiulio DB, Romero R, Kusanovic JP, et al. Prevalence and diversity of microbes in the amniotic fluid, the fetal inflammatory response, and pregnancy outcome in women with preterm pre-labor rupture of membranes. Am J Reprod Immunol. 2010;64(1):38-57. https://doi.org/10.1111/j.1600-0897.2010.00830.x

44. Romero R, Miranda J, Chaiworapongsa T, Korzeniewski SJ, Chaemsaithong P, Gotsch F, et al. prevalence and clinical significance of sterile intra-amniotic inflammation in patients with preterm labor and intact membranes. Am J Reprod Immunol. 2014;72(5):458-74. https://doi.org/10.1111/aji.12296

45. Sperling RS, Newton E, Gibbs RS. Intraamniotic infection in low-hirth-weight infants. J Infect Dis. 1988;157(1):113-7. https://doi.org/10.1093/infdis/157.1.113

46. Nikiforou M, Jacobs EMR, Kemp MW, Hornef MW, Payne MS, Saito M, et al. Intra-amniotic Candida albicans infection induces mucosal injury and inflammation in the ovine fetal intestine. Sci Rep. 2016;6(1):1-9. https://doi.org/10.1038/srep29806

47. Benirschke K, Raphael SI. Candida albicans infection of the amniotic sac. Am J Obstet Gynecol. 1958;75(1):200-02. https://doi.org/10.1016/0002-9378(58)90572-6

48. Romero R, Schaudinn C, Kusanovic JP, Gorur A, Gotsch F, Webster P, et al. Detection of a microbial biofilm in intraamniotic infection. Am J Obstet Gynecol. 2008;198(1):135.e1-135.e5. https://doi.org/10.1016/j.ajog.2007.11.026

49. Wu YW, Colford, Jr JM. Chorioamnionitis as a risk factor for cerebral palsy. JAMA. 2000;284(11):1417. https://doi.org/10.1001/jama.284.11.1417

50. Been JV, Lievense S, Zimmermann LJI, Kramer BW, Wolfs TGAM. Chorioamnionitis as a risk factor for necrotizing enterocolitis: a systematic review and meta-analysis. J Pediatr. 2013;162(2). https://doi.org/10.1016/j.jpeds.2012.07.012

51. Khong TY, Mooney EE, Ariel I, Balmus NC, Boyd TK, Brundler MA, et al. Sampling and definitions of placental lesions: Amsterdam placental workshop group consensus statement. Arch Pathol Lab Med. 2016 Jul;140(7):698-713. https://doi.org/10.5858/arpa.2015-0225-CC

52. Peng CC, Chang JH, Lin HY, Cheng PJ, Su BH. Intrauterine inflammation, infection, or both (triple I): a new concept for chorioamnionitis. Pediatr Neonatol. 2018;59(3):231-7. https://doi.org/10.1016/j.pedneo.2017.09.001

53. Higgins RD, Saade G, Polin RA, Grobman WA, Buhimschi IA, et al.; Chorioamnionitis Workshop Participants. Evaluation and management of women and newborns with a maternal diagnosis of chorioamnionitis: summary of a workshop. Obstet Gynecol. 2016 Mar;127(3):426-436. https://doi.org/10.1097/AOG.0000000000001246

54. Tita ATN, Andrews WW. Diagnosis and management of clinical chorioamnionitis. Clin Perinatol. 2010;37(2):339-54. https://doi.org/10.1016/j.clp.2010.02.003

55. Rouse DJ, Landon M, Leveno KJ, Leindecker S, Varner MW, Caritis SN, et al.; National Institute of Child Health And Human Development, Maternal-Fetal Medicine Units Network. The maternal-fetal medicine units cesarean registry: chorioamnionitis at term and its duration-relationship to outcomes. Am J Obstet Gynecol. 2004;191(1):211-6. https://doi.org/10.1016/j.ajog.2004.03.003

56. Hauth JC, Gilstrap LC 3rd, Hankins GD, Connor KD. Term maternal and neonatal complications of acute chorioamnionitis. Obstet Gynecol. 1985;66(1):59-62.

57. Gibbs RS, Duff P. Progress in pathogenesis and management of clinical intraamniotic infection. Am J Obstet Gynecol. 1991;164(5 part 1):1317-26. https://doi.org/10.1016/0002-9378(91)90707-X

58. Galinsky R, Polglase GR, Hooper SB, Black MJ, Moss TJ. The consequences of chorioamnionitis: preterm birth and effects on development. J Pregnancy. 2013;2013:412831. https://doi.org/10.1155/2013/412831

59. Romero-Maldonado S, Ortega-Cruz M, Galván-Contreras R. Riesgo de sepsis neonatal temprana en recién nacidos de madre con corioamnionitis: estudio de casos y controles. Perinatol Reprod Hum [internet]. 2013;27(4):217-21. http://www.scielo.org.mx/scielo.php?pid=S0187-53372013000400003&script=sci_arttext
Cómo citar
Olaya Contreras, M., & Caicedo Marmolejo, B. E. (2022). Actualidad en corioamnionitis: una mirada desde el microscopio. Universitas Medica, 63(4). https://doi.org/10.11144/Javeriana.umed63-4.cori
Sección
Artículos de revisión

Artículos más leídos del mismo autor/a