A clinical case of neonatal listeriosis with an unfavorable outcome is presented. The first symptoms of the disease in a newborn appeared on the 3rd day, intrauterine infection was suspected on the 5th day. A evolving clinical picture with death on day 9 is described. The issues of the ongoing antibiotic therapy are discussed. The diagnosis of neonatal listeriosis was confirmed by the results of postmortem and morphological examination of the deceased newborn. The cause of his death was an early form of listeria infection (septicemia) with damage mainly to the lungs and liver. Specialists who provide care for pregnant women, newborns and children should be alert for listeria infection.
Maternal neonatal listeriosis is less common desease, but contributes significantly to neonatal and infant mortality rates. The survey presents data on the the pathogen, epidemiology of the disease, and risk factors. Attention is paid to the pathogenesis of the development of this intrauterine infection. The emphasis is placed on the development of neonatal (congenital) listeriosis, as well as the risk of serious complications for the child. The article describes the symptoms of the disease at early and late manifestation, variants of the clinical course, the results of autopsy of dead newborns. Attention is drawn to the problems of treatment and prevention of neonatal listeriosis. Doctors of related specialties (obstetricians-gynecologists, neonatologists, pediatricians) should have up-to-date information about this disease.
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