Chorioamnionitis Caused by &lt;b&gt;&lt;i&gt;Listeria monocytogenes&lt;/i&gt;&lt;/b&gt;: A Case Report of Ultrasound Features of Fetal Infection

Hasbún, J; Sepúlveda‐Martínez, A.; Haye, M.; Astudillo, J.; Parra-Cordero, Mauro

doi:10.1159/000345091

Cited by 8 publications

(4 citation statements)

References 21 publications

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“…Apart from above-mentioned presentations, the literature also reports that abnormalities of fetal digestive tract are discoverable through an ultrasound, including fetal ascites, gallbladder enlargement, intestinal echo enhancement, and small intestine widening, implying the likelihood for a fetal intrauterine infection. 58 The newborn was born with moderate jaundice and dyspnea in this case. 58 The gestational age at the time of infection has a fundamental influence on the prognosis of newborns.…”

Section: Obstetrical Outcome Of Listeria In Pregnancymentioning

confidence: 75%

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An Update Review on Listeria Infection in Pregnancy

Wang¹,

Tao²,

Liu³

et al. 2021

IDR

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Listeria monocytogenes (LM) is an intracellular, aerobic and facultative anaerobic, Gram-positive bacterium, which is primarily transmitted to humans orally via food. LM could occur in asymptomatic pregnant women; however, fetal infection is a serious condition, entailing premature birth, abortion, sepsis, central nervous system (CNS) involvement, or even death. If a pregnant woman exhibits symptoms, the performance is almost like influenza, such as fever, headache, diarrhea, myalgia, or other digestive-related symptoms. This review collected clinical and empirical results regarding the mechanism, clinical manifestations, obstetrical outcome, diagnosis, treatment, vertical transmission, neonatal infection, and prevention of listeriosi according to articles published in PubMed from January 1, 1980, to March 20, 2021. The early detection and diagnosis of pregnancy-associated listeriosis are significant since sensitive antibiotics are effective at enhancing the prognosis of newborns. Listeriosis can be diagnosed using positive cultures from maternal or neonatal blood, neonatal cerebrospinal fluid (CSF), amniotic fluid, intrauterine mucosa, or the placenta. Two weeks of high-dose intravenous amoxicillin (more than 6 g/day) is recommended for LM pregnant women without allergy. Terminating the pregnancy to save the mother's life should be considered if maternal and fetal conditions aggravate. Neonatal Listeria infection is primarily transmitted through the placenta, which is a critical illness associated with a high mortality rate. The necessary dietary guidance for pregnant women can reduce the incidence rate of pregnancy-related listeriosis.

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Section: Obstetrical Outcome Of Listeria In Pregnancymentioning

confidence: 75%

“…58 The newborn was born with moderate jaundice and dyspnea in this case. 58 The gestational age at the time of infection has a fundamental influence on the prognosis of newborns. 15 If the fetal infection is diagnosed in early pregnancy, 65% of the pregnant women have abortions.…”

Section: Obstetrical Outcome Of Listeria In Pregnancymentioning

confidence: 75%

An Update Review on Listeria Infection in Pregnancy

Wang¹,

Tao²,

Liu³

et al. 2021

IDR

View full text Add to dashboard Cite

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“…The most frequently described antenatal symptoms are reduced fetal movements, an abnormal fetal heart rate trace, non-immune hydrops, intracranial calcifications and intrauterine fetal demise [52]. A case report also found the fetal ultrasound findings to include mild ascites, dilated gallbladder, and echogenic and dilated loops of the small bowel [53]. In case of suspected fetal listeriosis, amniotic fluid and cervical cultures may be useful [53,54].…”

Section: Pregnancy Complicationsmentioning

confidence: 99%

“…A case report also found the fetal ultrasound findings to include mild ascites, dilated gallbladder, and echogenic and dilated loops of the small bowel [53]. In case of suspected fetal listeriosis, amniotic fluid and cervical cultures may be useful [53,54].…”

Section: Pregnancy Complicationsmentioning

confidence: 99%

Listeria Infection in Pregnancy: A Review of Literature

Luca¹,

Donati²,

D’Oria³

et al. 2015

TOIDJ

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Listeria monocytogenes, a Gram-positive bacterium, is responsible for human listeriosis. Infection with Listeria has been associated with the consumption of contaminated and/or inadequately cooked food, particularly dairy products, leafy vegetables, fish, and meat. The main clinical manifestations include diarrhea, nausea and vomiting, which are usually followed by fever and flu-like symptoms.Listeriosis affects pregnant women in about one in seven (14%) cases. They are approximately 10 times more likely to catch the disease than the general population. Although Listeria infection during pregnancy is usually uncomplicated for the mother, fetal and neonatal infection can be severe and fatal. Animal studies have shown a dose-response relationship between L. monocytogenes bacterial load and adverse pregnancy outcome, mainly pregnancy loss. Fetal and neonatal infection occurs through the transplacental passage of the bacterium or through exposure in the perinatal period. In pregnant women Listeria infection was associated with fetal loss, preterm birth, neonatal infection or neonatal death. Blood culture is the principal diagnostic tool and the antibiotic of choice for the treatment of listeriosis is penicillin, with high doses injected intravenously for at least 14 days. In case of suspected or confirmed maternal listeriosis, a program of fetal surveillance should be implemented. Common fetal ultrasound findings in listeria infection include non-immune hydrops, intracranial calcifications, and intrauterine fetal demise. Strategies for the prevention of listeriosis, including avoiding unpasteurized dairy products, uncooked food and leftover food, have significantly decreased the number of cases of infection. Prevention in pregnant women can be achieved by sticking to prophylactic measures and strict diet recommendations.

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