Challenging management of chorioamnionitis with placental listeriosis: lessons from 2 cases.
10.5468/ogs.2018.61.6.688
- Author:
Ji Hyun PARK
1
;
Jung Hwan AHN
;
Kyung Jin SEO
;
Sae Kyung CHOI
;
In Yang PARK
;
Yeon Hee KIM
Author Information
1. Department of Obstetrics and Gynecology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea. yoni@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Listeriosis;
Pregnancy;
Management;
Antimicrobials
- MeSH:
Anti-Infective Agents;
Cesarean Section;
Chorioamnionitis*;
Early Diagnosis;
Female;
Fever;
Humans;
Infant, Newborn;
Infant, Premature;
Listeria monocytogenes;
Listeriosis*;
Mortality;
Parturition;
Pregnancy;
Pregnancy Outcome;
Pregnant Women
- From:Obstetrics & Gynecology Science
2018;61(6):688-692
- CountryRepublic of Korea
- Language:English
-
Abstract:
Listeriosis is a rare foodborne infection caused by Listeria monocytogenes. It is 12–20 times more prevalent in pregnant women compared to the general population, with a 20–40% mortality rate in neonates. Early treatment with appropriate antimicrobial agents is critical for pregnancy outcomes; however, the infection is difficult to control because the nonspecific clinical manifestations and rarity of the disease often preclude early diagnosis. We encountered 2 cases of pregnancy-associated listeriosis that occurred at 29 and 37 weeks of gestation. Both neonates were delivered by emergent cesarean section due to fetal condition, and one of the preterm infants died immediately after birth. Pregnancy-associated listeriosis should be considered in the management of unexplained fever or inflammatory conditions in pregnant women.
