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Volume 41, Number 5, October 2008

Listeria monocytogenes bacteremia in a twin pregnancy with differential outcome: fetus papyraceus and a full-term delivery


Jaffar A Al-Tawfiq
Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran, Saudi Arabia

Received: October 9, 2007    Revised: November 15, 2007    Accepted: January 28, 2008   

 

Corresponding author:

Dr Jaffar A Al-Tawfiq, MD, FACP, FCCP, PO Box 76, Room A-420B, Building 61, Internal Medicine Services Division, Dhahran Health Center, Saudi Aramco Medical Services Organization, Saudi Aramco, Dhahran 31311, Saudi Arabia. E-mail: Dr Jaffar A Al-Tawfiq This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
 



 

Methods:

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.



 

Key words:

Diseases in twins; Fetal death; Listeria; Listeria monocytogenes; Pregnancy complications, infectious

 



 

J Microbiol Immunol Infect. 2008;41:433-436.