쌍둥이 임신에 발생한 Listeria Monocytogenes 감염의 태반소견 - 1예 보고 -
Placental Findings of Listeria Monocytogenes Infection in Twin Pregnancy - A Case Report -
신동훈, 송동은, 김규래,
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신동훈 ( Shin Dong-Hoon )
부산대학교 의과대학 병리학교실
송동은 ( Song Dong-Eun )
울산대학교 의과대학 서울아산병원 병리과
김규래 ( Kim Kyu-Rae )
울산대학교 의과대학 서울아산병원 병리과
KMID : 0357920070410020119
Abstract
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.
키워드
Listeria monocytogenes; Placenta; Infection
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