Late stillbirth due to listeriosis.
Antonio Segado-ArenasLidia Atienza-CuevasJosé Roman Broullón-MolanesMoisés Rodríguez-GonzálezSimón Pedro Lubián-LópezPublished in: Autopsy & case reports (2018)
Listeriosis is a sporadic infectious disease, which affects high-risk populations, such as the elderly, pregnant women, newborns, and immunocompromised patients. During pregnancy, listeriosis usually presents like a mild non-specific infection, but it may be responsible for fetal loss, preterm labor, early onset neonatal sepsis, and neonatal death. We report the case of a late stillbirth secondary to maternal chorioamnionitis. Listeria monocytogenes was isolated from the amniotic fluid and the fetal pleural fluid. The fetal autopsy revealed a disseminated inflammatory response with multi-organ involvement. This case illustrates the importance of the prevention and the diagnosis of listeriosis during gestation and may help us to understand the physiopathology of fetal loss due to listeriosis.
Keyphrases
- early onset
- pregnant women
- listeria monocytogenes
- inflammatory response
- late onset
- end stage renal disease
- infectious diseases
- gestational age
- newly diagnosed
- ejection fraction
- chronic kidney disease
- intensive care unit
- low birth weight
- prognostic factors
- middle aged
- pregnancy outcomes
- lipopolysaccharide induced
- toll like receptor
- physical activity
- cord blood
- mesenchymal stem cells
- weight loss
- respiratory failure
- patient reported