Obstetrics & gynecology science

Korean Society of Obstetrics and Gynecology (대한산부인과학회)
권호 표지

A case of Listeriosis in early third trimester pregnant woman

임신 제 3 삼분기 초기 리스테리아 감염증 1예

Jung, Un-Suk;Lee, Eun-Sung;Yi, Kyong-Wook;Min, Joo-Young;Lee, Kyoung-Ju
정언석;이은성;이경욱;민주영;이경주

  • Published : 20050100
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Abstract

Although listeria monocytogenes is widely distributed in nature, it rarely causes clinical infection in previously healthy people. However, this microorganism may cause severe infectious disease in pregnant women and newborns due to impaired cell-mediated immunity. Various clinical symptoms have been described such as sepsis, central nervous system infections, endocarditis, gastroenteritis and localized infections. A clinical presentation of listeriosis in an early third trimester pregnant woman and in a preterm infant is emphasized in addition to taking a careful patient history, early empirical administration of antibiotics, aggressive ventilation therapy and also pharmacological support.

단구성 리스테리아는 자연에 널리 분포되어 사람에게 질병을 일으키는 원인균으로 건강한 사람의 경우는 드물게 나타나나, 세포매개성 면역이 저하되어 있는 산모와 신생아에게 심각한 감염을 유발한다. 이에 저자는 임신 삼분기 초의 산모에서 리스테리아증을 경험하여 문진의 중요성과 경험적 항생제의 투여, 미숙아의 신속하고 적극적인 치료에 대해 언급하고자 한다.

Keywords

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