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Related Experiment Videos

[Neonatal listeriosis].

P Alliët1, S Van Lierde, B Bruylants

  • 1Afd. Kindergeneeskunde, Dienst Neonatologie, Universitair Ziekenhuis Gasthuisberg, K.U. Leuven.

Tijdschrift Voor Kindergeneeskunde
|February 1, 1992
PubMed
Summary

Early onset neonatal Listeria monocytogenes infection presents with a distinct clinical picture, including maternal flu-like illness and infant respiratory distress. Monocyte predominance in endotracheal aspirates may aid early diagnosis.

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Area of Science:

  • Neonatal Medicine
  • Infectious Diseases
  • Microbiology

Context:

  • A cluster of eight early-onset neonatal Listeria monocytogenes infections occurred between November 1988 and December 1989.
  • The cases were registered in the Neonatal Intensive Care Unit of the University Hospital in Leuven, Belgium.

Purpose:

  • To describe the clinical presentation, diagnostic challenges, and outcomes of neonatal Listeria monocytogenes infections.
  • To highlight potential diagnostic indicators and the characteristic clinical syndrome.

Summary:

  • Seven out of eight cases were diagnosed clinically before bacteriological confirmation, based on maternal flu-like illness, preterm labor, meconium-stained fluid, perinatal asphyxia, and neonatal respiratory distress.
  • A maculopapulovesicular skin eruption was observed in five infants.

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  • Non-specific laboratory findings included a predominance of monocytes in endotracheal aspirates.
  • Meningitis and intraventricular hemorrhage occurred in five patients, with two fatalities and severe neurological sequelae in three survivors.

    • Impact:

    • This study emphasizes the importance of recognizing the characteristic clinical syndrome for prompt diagnosis and management of neonatal Listeria monocytogenes.
    • Early identification of monocyte predominance in respiratory secretions could serve as a valuable diagnostic clue.
    • The findings underscore the severe potential complications, including neurological sequelae and mortality, associated with this infection.