Haemophilus parahaemolyticus Septic Shock after Aspiration Pneumonia, France

ruptured. She underwent a repeat cesarean delivery because the method of leprosy transmission is not yet proven and to prevent possible vertical transmission to the infant. The patient delivered a female infant weighing 6 lb, 8 oz, with Apgar scores of 8 and 9. On postoperative day 1, Dapsone treatment was restarted; she was given Dapsone, 50 mg daily, and prednisone, 40 mg daily. She was discharged with the baby on postoperative day 3. Leprosy is a chronic disease caused by Mycobacterium leprae. The disease mainly affects the skin and nerves and, if untreated, can cause permanent damage. It is curable, however, and disability can be avoided. The World Health Organization recommends multidrug therapy consisting of Dapsone, rifampin, and clofazimine (1). This combination has proven highly effective, and patients are no longer infectious after the first dose (1). Virtually no relapses occur and antimicrobial drug resistance does not develop (1). Pregnancy causes a relative decrease in cellular immunity, which allows M. leprae to proliferate (2). Careful management can prevent permanent nerve damage. Leporatamatous leprosy and relapse after treatment are more commonly seen throughout pregnancy because of the pregnant woman’s immunodeficient state (2,3).,Infants are usually less affected than mothers; nevertheless, selection of the mother’s antimicrobial drug regimen must ensure adequate control of the bacteria while avoiding teratogenicity and in utero adverse effects, such as low birthweight (3,4). The infant has a potentially high risk of contracting leprosy from the mother by skin-to-skin contact or droplet transmission, particularly if she has not received treatment.