Neonatal listeriosis
Journal
Journal of the Formosan Medical Association
Journal Volume
106
Journal Issue
2
Pages
161-164
Date Issued
2007
Author(s)
Chen S.-Y.
Hsieh W.-S.
Abstract
In Western developed countries, Listeria monocytogenes is not an uncommon pathogen in neonates. However, neonatal listeriosis has rarely been reported in Taiwan. We describe two cases collected from a single medical institute between 1990 and 2005. Case 1 was a male premature baby weighing 1558 g with a gestational age of 31 weeks whose mother had fever with chills 3 days prior to delivery. Generalized maculopapular rash was found after delivery and subtle seizure developed. Both blood and cerebrospinal fluid culture collected on the 1st day yielded L. monocytogenes. In addition, he had ventriculitis complicated with hydrocephalus. Neurologic development was normal over 1 year of follow-up after ventriculoperitoneal shunt operation. Case 2 was a 28-weeks' gestation male premature baby weighing 1180 g. Endotracheal intubation and ventilator support were provided after delivery due to respiratory distress. Blood culture yielded L. monocytogenes. Cerebrospinal fluid showed pleocytosis but the culture was negative. Brain ultrasonography showed ventriculitis. Sudden deterioration with cyanosis and bradycardia developed on the 8th day and he died on the same day. Neonatal listeriosis is uncommon in Taiwan, but has significant mortality and morbidity. Early diagnosis of perinatal infection relies on high index of suspicion in perinatal health care professionals. ? 2007 Elsevier & Formosan Medical Association.
SDGs
Other Subjects
ampicillin; cefotaxime; gentamicin; penicillin G; article; artificial ventilation; birth weight; blood culture; bradycardia; brain ventricle peritoneum shunt; brain ventriculitis; case report; cerebrospinal fluid analysis; cerebrospinal fluid culture; chill; cyanosis; deterioration; drug dose increase; early diagnosis; echoencephalography; endotracheal intubation; fever; follow up; gestational age; human; hydrocephalus; Listeria monocytogenes; listeriosis; maculopapular rash; male; maternal disease; morbidity; mortality; neonatal respiratory distress syndrome; nervous system development; newborn; newborn infection; pleocytosis; prematurity; puerperium; seizure
Publisher
Scientific Communications International Ltd
Type
journal article