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KMID : 0357920070410020119
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Korean Journal of Pathology
2007 Volume.41 No. 2 p.119 ~ p.122
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Placental Findings of Listeria Monocytogenes Infection in Twin Pregnancy - A Case Report -
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Shin Dong-Hoon
Song Dong-Eun
Kim Kyu-Rae
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Abstract
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A Listeria monocytogenes infection is relatively rare in healthy adults. However, the chance of an infection increases almost 17 times in pregnancy due to changes in the immune function. A Listeria monocytogenes infection results in characteristic gross and microscopic features in the placenta, including multiple yellowish nodules showing microscopic intervillous abscess and intervillositis. We describe the placental findings of a Listeria monocytogenes infection that was complicated by maternal sepsis, myocarditis and congestive heart failure. The infection was discovered in the 34th week of a twin gestation in a 28 year-old woman. This case should emphasize the importance of this condition to pathologists. Antibiotic treatment was started based on the placental histologic findings before a maternal blood culture confirmed growth of Listeria monocytogenes. Both the mother and twin babies were healthy at the time of this report.
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KEYWORD
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Listeria monocytogenes, Placenta, Infection
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