Listeriosis.a cause for concern

Author: 
Dr Shaika Farooq, Dr Sanam Rasool and Dr Umar Rasheed

Introduction; Worldwide, Listeria monocytogenes is estimated to infect 23,150 people, with a mortality of 23.6 percent in adults & 14.9 percent in infants. Although considered one of the most deadly and adaptable bacteria found in food, countries accounting for 48 percent of the world’s population do not report Listeria.Herein we report a case of Listeria monocytogenes sepsis in a 26yr old pregnant female with poor fetal outcome. Case report 26 yr old primigravida with 36 weeks of pregnancy came to the gynaecology casualty with chief complaints of; high grade fever and cough.Physical examination and Laboratory investigations confirmed that the patient was in septicaemia.USG, confirmed intrauterine death of the fetus. Patient was empirically started with meropenem and vancomycin after drawing blood for culture. Blood culture grew listeria monocytogenes. A single dead baby was delivered on caesarean section. Patient was continued on the same antibiotic treatment for ten days and responded well. Conclusions; Foodborne listeriosis is a potentially fatal disease in high risk groups. In developing countries high index of suspicion, improved food safety standards and better diagnostic facilities are the need of the hour to tackle and identify such cases.

Page: 
4200-4201
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DOI: 
http://dx.doi.org/10.24327/23956429.ijcmpr201905656
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