新生儿感染单核细胞增生李斯特菌三例分析

Analysis of 3 cases of neonatal infection with Listeria monocytogenes

单核细胞增生李斯特菌(LM)是一种常见的可导致人畜共患病的食源性致病菌。尤其对孕妇可能产生流产、早产甚至死胎等不良妊娠结局,发生新生儿患败血症和化脓性脑膜炎的概率也明显升高,预后不良。现结合接诊的3例感染LM的新生儿病例进行分析,依据孕产妇和患儿的临床表现与症状,探讨产妇和患儿之间的内在关联,不同病例之间的异同点。目的为提高临床医师对妊娠期女性和新生儿感染LM的临床认知,提高临床诊治水平。

Listeria monocytogenes,which can cause zoonotic diseases,is a common foodborne pathogen.Especially pregnant women may have adverse pregnancy outcomes such as miscarriage,premature delivery,or even stillbirth.The probability of neonatal septicemia and purulent meningitis is also significantly increased,and the prognosis poor.This article analyzed 3 cases of neonates infected with Listeria monocytogenes that have been received in our hospital.This article probed the internal connection between parturient and pediatric patients and discussed the similarities and differences between different cases based on the clinical manifestations and symptoms of pregnant women and pediatric patients.The purpose is to improve clinicians'clinical understanding of Listeria monocytogenes infection in pregnant women and newborns and improve the clinical diagnosis and treatment level.