Sepsis caused by listeria monocytogenes
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2018-11-02 |
Background: Sepsis is one of the most common cause of mortality during neonatal period, especially if it is caused by Listeria monocytogenes (LM). Case report: 38 weeks of gestation, male newborn was born in regional hospital. Anamnesis. There were no anamnestic risk factors for early onset sepsis. A green colour of amniotic fluids were confirmed. At age of 6 hours, due to clinical instability, he was transferred to a third level hospital Clinical signs. Respiratory distress, poor perfusion. Due to suspection of early onset sepsis, empiric antibiotic treatment was prescribed (penicillin and gentamicin). At age of 1 day blood test showed signs of bacteriological infection (CRP 90 mg/l; I/T 0,35; WBC 4,86 x 109/l). Clinical condition decreased. Due to insufficiency of cardiorespiratory system was started mechanically pulmonary ventilation (MPV) and inotropic support. Preliminary information about listeria in blood culture was received after 24 hours. Penicillin was changed to ampicillin. Lysteria monocytogenes was confirmed in blood and trachea cultures, congenital pneumonia and sepsis was diagnosed. Antibiotic treatment lasted for 10 days. Patient was moved to NU where oxygen requirement and symptoms of respiratory distress decreased. At age of 23 days patient was discharged from hospital. Conclusions: Despite the aggressive pathogen and severe neonatal condition, early suspicion of etiological factor and correct atibiotical treatment saved patient’s life.[...].