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[一例由单核细胞增生李斯特菌引起的母婴感染病例]

[A case of maternal and neonatal infection due to Listeria monocytogenes].

作者信息

Tridente V, Cataldi U M, Mossa B, Morini F, Bonessio L, Ciardo A, Salvi M

机构信息

I Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi di Roma La Sapienza, Roma, Italia.

出版信息

Clin Ter. 1998 Jul-Aug;149(4):307-11.

PMID:9866893
Abstract

A Listeria monocytogenes infection may develop during pregnancy by eating sausages, fresh meats and milk products derived from infected animals. According to the period in which the infection starts, the pregnancy outcome can be abortion or pre-term or at term delivery. The infection can pass from mother to fetus and can cause a serious neonatal sepsis. Listeriosis in pregnant women can be asymptomatic or may present as an influenza-like syndrome. This case report, along with other published cases, demonstrates how hard is to make a correct diagnosis of listeriosis during pregnancy. Since this is mainly related to the aspecificity of symptoms, it is very important to have a high suspicion and to take a careful patient history.

摘要

孕妇食用受感染动物的香肠、鲜肉和奶制品可能会感染单核细胞增生李斯特菌。根据感染开始的时期,妊娠结局可能是流产、早产或足月分娩。感染可从母亲传给胎儿,并可导致严重的新生儿败血症。孕妇感染李斯特菌可能无症状,也可能表现为类似流感的综合征。本病例报告以及其他已发表的病例表明,孕期正确诊断李斯特菌感染有多困难。由于这主要与症状的非特异性有关,高度怀疑并仔细询问患者病史非常重要。

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