Second trimester listeriosis followed by fetal death in utero (FDIU): A case report.

Shin, Jae Jun; Choe, Ji Young; Kim, Sun Min; Lee, Seung Mi; Oh, Kyung Joon; Park, Chan Wook; Park, Joong Shin; Jun, Jong Kwan; Park, Sung Hye; Syn, Hee Chul

doi:2010.53.3.287

Obstet Gynecol Sci > Volume 53(3); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(3):287-290.
DOI: https://doi.org/10.5468/kjog.2010.53.3.287 Published online March 1, 2010.

Second trimester listeriosis followed by fetal death in utero (FDIU): A case report.

Jae Jun Shin, Ji Young Choe, Sun Min Kim, Seung Mi Lee, Kyung Joon Oh, Chan Wook Park, Joong Shin Park, Jong Kwan Jun, Sung Hye Park, Hee Chul Syn

¹Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. jsparkmd@snu.ac.kr
²Department of Pathology, Seoul National University College of Medicine, Seoul, Korea.

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.

Key Words: Listeria, Amniocentesis, Culture, Fetal death, Autopsy