A case of Listeriosis in early third trimester pregnant woman.

Jung, Un Suk; Lee, Eun Sung; Yi, Kyong Wook; Min, Joo Young; Lee, Kyoung Ju

Case Report

Korean Journal of Obstetrics & Gynecology 2005;48(1):194-198.
Published online January 1, 2005.

A case of Listeriosis in early third trimester pregnant woman.

Un Suk Jung, Eun Sung Lee, Kyong Wook Yi, Joo Young Min, Kyoung Ju Lee

¹Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
²Department of Obstetrics and Gynecology, College of Medicine, Pochon CHA University CHA General Hospital, Seoul, Korea. petrow@dreamwiz.com

Abstract

Although listeria monocytogenes is widely distributed in nature, it rarely causes clinical infection in previously healthy people. However, this microorganism may cause severe infectious disease in pregnant women and newborns due to impaired cell-mediated immunity. Various clinical symptoms have been described such as sepsis, central nervous system infections, endocarditis, gastroenteritis and localized infections. A clinical presentation of listeriosis in an early third trimester pregnant woman and in a preterm infant is emphasized in addition to taking a careful patient history, early empirical administration of antibiotics, aggressive ventilation therapy and also pharmacological support.

Key Words: Listeriosis, Pregnancy, Careful history, Empirical antibiotics