Obstetrics & gynecology science

Korean Society of Obstetrics and Gynecology (대한산부인과학회)
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Challenging management of chorioamnionitis with placental listeriosis: lessons from 2 cases

  • Park, Ji Hyun (Department of Obstetrics and Gynecology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ahn, Jung Hwan (Department of Obstetrics and Gynecology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Seo, Kyung Jin (Department of Pathology, The Catholic University of Korea College of Medicine) ;
  • Choi, Sae Kyung (Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, In Yang (Department of Obstetrics and Gynecology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Yeon-Hee (Department of Obstetrics and Gynecology, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • Received : 2017.07.20
  • Accepted : 2017.10.31
  • Published : 2018.11.15
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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.

Keywords

References

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Cited by

  1. Preterm Delivery due to Listeriosis in Third Trimester Pregnancy vol.31, pp.2, 2018, https://doi.org/10.14734/pn.2020.31.2.103
  2. Listeriosis in a Pregnant Woman and a Neonate vol.43, pp.4, 2020, https://doi.org/10.12771/emj.2020.43.4.60