Department of Internal Medicine, Japan Community Healthcare Organization, Isahaya General Hospital, Japan.
Department of Rheumatology, Japan Community Healthcare Organization, Isahaya General Hospital, Japan.
Intern Med. 2021 May 15;60(10):1627-1630. doi: 10.2169/internalmedicine.5079-20. Epub 2020 Dec 15.
A 41-year-old woman with systemic lupus erythematosus (SLE) was admitted to our hospital due to a fever at 35 weeks of pregnancy. Laboratory testing revealed a low platelet count and elevated liver enzymes. Emergency Caesarean section was performed due to the risk of SLE exacerbation or hemolytic anemia, elevated liver enzyme, and low platelet count syndrome. Based on the blood culture results, the patient was diagnosed with Listeria monocytogenes bacteremia. She was treated with ampicillin and eventually recovered, and the neonate did not have any complications. Pregnant women with SLE are at risk of complications. Listeriosis should be monitored for and, if found, managed appropriately.
一位 41 岁的系统性红斑狼疮（SLE）女性患者，在妊娠 35 周时因发热被收入我院。实验室检查发现血小板计数低和肝酶升高。由于 SLE 加重或溶血性贫血、肝酶升高和血小板计数低综合征的风险，紧急行剖宫产术。根据血培养结果，患者被诊断为李斯特菌血症。她接受氨苄西林治疗，最终康复，新生儿也没有任何并发症。患有 SLE 的孕妇有发生并发症的风险。应监测李斯特菌病，并在发现时进行适当的治疗。
