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Case report: A 26-year-old woman (gravida four, para two) delivered an immature infant at 23 weeks of gestation after presenting with abnormal vaginal blood loss and sepsis. Blood cultures and placenta cultures showed bacteremia by Fusobacterium necrophorum. Histopathological examination of the placenta was concurrent with that, showing severe chorioamnionitis with funisitis. A dentist and oral surgeon confirmed the diagnosis of generalised periodontal disease. Background: Periodontal disease is the most prevalent infectious disease in pregnancy and is associated with other clinical conditions, like cardiovascular disease and diabetes. Pregnancy aggravates periodontal disease due to change in hormones and inflammatory factors. Periodontitis seems to be associated with adverse pregnancy outcome, like low birth weight, prematurity and pre-eclampsia. Treatment of periodontal disease in pregnancy is safe and may reduce adverse pregnancy outcome. With awareness and education of oral hygiene, the incidence of periodontal disease in the most vulnerable patients with low socioeconomic status could decrease. Conclusion: We present a case of a generalised periodontal disease in pregnancy causing bacteremia with F. necrophorum and immature delivery as a result. Dental screening is not yet a standard procedure in preconceptional health care. However, health care workers should be aware of possible systemic and subsequently obstetric pathology caused by poor oral hygiene. Research on the effects of oral hygiene before and during pregnancy and the benefits of early treatment should be continued.

Septicaemia with Fusobacterium necrophorum from Periodontal Disease in Pregnancy Resulting in Immature Birth: Case Report and Review of Literature