Journal List > Korean J Obstet Gynecol > v.53(3) > 1006393

Shin, Choe, Kim, Lee, Oh, Park, Park, Jun, Park, and Syn: Second trimester listeriosis followed by fetal death in utero (FDIU) : A case report

Abstract

Listeriosis is an infectious disease caused by Listeria monocytogenes, a gram positive, facultatively anaerobic bacterium. Listeriosis occurs primarily in newborn infants, elderly patients, immunocompromised patients and pregnant women. One third of the patients are pregnant women, and complications of this disease include miscarriage, stillbirth and preterm labor. We experienced a case of listeriosis in a singleton pregnancy at 23rd week of gestation that presented with fever, chill, lower abdominal pain, backache, and eventually resulted in fetal death in utero. Autopsy results of the stillborn baby, as well as blood and amniotic fluid culture of the mother confirmed Listeria monocytogenes infection. Proper antibiotics therapy thereafter led to clear recovery of the infected mother. We report this case with a brief review of literature.

Figures and Tables

Figure 1
The dead fetus before fixation shows disseminated whitish papules all over the surface, sparing its face and scalp.
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Figure 2
Fetal right lung shows disseminated whitish spots on the surface.
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