Abstract
A 41-year-old Saudi woman, gravida 7, para 5, aborta 1 with sickle cell disease at week 12 of gestation of diamniotic dichorionic twin pregnancy was admitted with fever. Blood cultures grew Listeria monocytogenes. She was treated with intravenous ampicillin and had death of one of the fetuses after 10 days. An ultrasound at 19 weeks of gestation showed a normal intrauterine gestation and the presence of significantly collapsed second twin gestational sac consistent with fetal papyraceus. At 37 weeks of gestation, she had a cesarean section and a full-term baby was delivered. We describe the case and review the literature on pregnancy-associated listeriosis.
MeSH terms
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Adult
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Ampicillin / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Bacteremia / diagnosis
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Bacteremia / drug therapy
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Bacteremia / microbiology
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Bacteremia / pathology
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Cesarean Section
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Female
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Fetal Death* / diagnosis
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Fetal Death* / pathology
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Fetal Diseases* / diagnosis
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Fetal Diseases* / drug therapy
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Fetal Diseases* / microbiology
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Fetal Diseases* / pathology
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Humans
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Listeria monocytogenes / isolation & purification
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Listeriosis* / diagnosis
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Listeriosis* / drug therapy
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Listeriosis* / microbiology
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Listeriosis* / pathology
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Pregnancy
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Pregnancy Complications, Infectious* / diagnosis
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Pregnancy Complications, Infectious* / drug therapy
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Pregnancy Complications, Infectious* / microbiology
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Pregnancy Complications, Infectious* / pathology
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Pregnancy, Multiple*
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Twins
Substances
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Anti-Bacterial Agents
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Ampicillin