Listeriosis in pregnancy: a challenge in diagnosis

Listeriosis is a rare foodborne infection caused by Listeria monocytogenes. It has been reported to be commonly found among the obstetric population, immunocompromised group and elderly, presumably due to the lower immunity status in these populations. Presentation in pregnancy is usually non-specif...

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Main Author: Basri, Nurul Iftida
Format: Article
Published: BMJ Publishing Group 2024
Online Access:http://psasir.upm.edu.my/id/eprint/112754/
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author Basri, Nurul Iftida
author_facet Basri, Nurul Iftida
author_sort Basri, Nurul Iftida
building UPM Institutional Repository
collection Online Access
description Listeriosis is a rare foodborne infection caused by Listeria monocytogenes. It has been reported to be commonly found among the obstetric population, immunocompromised group and elderly, presumably due to the lower immunity status in these populations. Presentation in pregnancy is usually non-specific like fever, diarrhoea, respiratory tract symptoms and preterm rupture of membrane. These make the diagnosis challenging and may delay the correct management. We present a case of a female in her early 40s, gravida 4 para 0+3 at 27 weeks who presented with fever. She later developed preterm rupture of membrane 24 hours after admission. The leaking of liquor later changed from clear to meconium stained raising the suspicion of listeria chorioamnionitis, necessitating an emergency preterm delivery via caesarean section. The newborn acquired listeria infection and required ventilation support. He subsequently was discharged from neonatal unit after nearly 3 months of life.
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spelling upm-1127542024-11-14T04:04:18Z http://psasir.upm.edu.my/id/eprint/112754/ Listeriosis in pregnancy: a challenge in diagnosis Basri, Nurul Iftida Listeriosis is a rare foodborne infection caused by Listeria monocytogenes. It has been reported to be commonly found among the obstetric population, immunocompromised group and elderly, presumably due to the lower immunity status in these populations. Presentation in pregnancy is usually non-specific like fever, diarrhoea, respiratory tract symptoms and preterm rupture of membrane. These make the diagnosis challenging and may delay the correct management. We present a case of a female in her early 40s, gravida 4 para 0+3 at 27 weeks who presented with fever. She later developed preterm rupture of membrane 24 hours after admission. The leaking of liquor later changed from clear to meconium stained raising the suspicion of listeria chorioamnionitis, necessitating an emergency preterm delivery via caesarean section. The newborn acquired listeria infection and required ventilation support. He subsequently was discharged from neonatal unit after nearly 3 months of life. BMJ Publishing Group 2024 Article PeerReviewed Basri, Nurul Iftida (2024) Listeriosis in pregnancy: a challenge in diagnosis. BMJ Case Reports, 17 (4). art. no. e259938. ISSN 1757-790X; eISSN: 1757-790X https://casereports.bmj.com/content/17/4/e259938 10.1136/bcr-2024-259938
spellingShingle Basri, Nurul Iftida
Listeriosis in pregnancy: a challenge in diagnosis
title Listeriosis in pregnancy: a challenge in diagnosis
title_full Listeriosis in pregnancy: a challenge in diagnosis
title_fullStr Listeriosis in pregnancy: a challenge in diagnosis
title_full_unstemmed Listeriosis in pregnancy: a challenge in diagnosis
title_short Listeriosis in pregnancy: a challenge in diagnosis
title_sort listeriosis in pregnancy: a challenge in diagnosis
url http://psasir.upm.edu.my/id/eprint/112754/
http://psasir.upm.edu.my/id/eprint/112754/
http://psasir.upm.edu.my/id/eprint/112754/