A Case of Congenital Listeriosis

  • TAKEDA,Yoshiharu
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • HARA,Naonori
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • SAKAI,Masato
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • NAKATANI,Akiko
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • TAKAE,Kentaro
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • NAKAYAMA,Setsuko
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • KIRIYAMA,Yoriko
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • MIYAZAKI,Satomi
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • HAMADA,Takashi
    Department of Neonatology, Aiiku Maternal and Child Health Center, Aiiku Hospital
  • OKAI,Takashi
    Department of Obstetrics and Gynecology, Aiiku Maternal and Child Health Center, Aiiku Hospital

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Other Title
  • 先天性リステリア感染症の1例

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Description

A case of congenital listeriosis was managed successfully through early diagnosis of intrauterine infection by means of the fetal heart rate pattern. The mother was admitted to our hospital with symptoms of slight fever and uterine contraction at the 36th gestational week. The cardiotocogram showed late deceleration. On a diagnosis of intrauterine infection and fetal distress an emergency cesarean section was done on the same day. A male baby was born and congenital listeriosis was suspected due to a low apgar score (1-4), extremely high respiratory pressure and brown colored amniotic fluid. He was intubated and managed with high frequency oscillation (HFO) and injection of ABPC, GM and γ-globulin. He recovered from this condition without any other complication, and was discharged on the 12th day after delivery.

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