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[Perinatal listeriosis--a case report]
B R Cheng1, D M Kuo, T T Hsieh
1Department of Obstetries and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi
|June 20, 1990
Summary
Perinatal listeriosis, a rare infection caused by Listeria monocytogenes, can lead to severe complications. This case highlights chorioamnionitis and neonatal meningitis, emphasizing prompt diagnosis and treatment.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Infectious Diseases
Background:
- Listeria monocytogenes is an uncommon cause of perinatal infections.
- It is associated with adverse pregnancy outcomes like abortion, premature labor, and fetal death.
Observation:
- The first reported case of perinatal listeriosis with Listeria monocytogenes chorioamnionitis at 33 weeks' gestation in Taiwan.
- Diagnosis was confirmed via transabdominal amniocentesis.
- An emergency cesarean section was performed due to fetal distress, resulting in a premature male infant.
Findings:
- The neonate developed meningitis and early-onset neonatal listeriosis, confirmed by blood culture.
- Brain sonography revealed hydrocephalus after one month of antibiotic treatment.
- The infant was lost to follow-up one month later.
Implications:
- Listeriosis should be considered in pregnant patients with fever of unknown origin.
- Prompt diagnosis through appropriate cultures and timely antibiotic therapy are crucial for managing perinatal listeriosis.
- This case underscores the importance of awareness among obstetricians regarding this rare but serious infection.