Listeria Meningitis in a Pregnant Woman with Eclampsia: A Case Report

Preeclampsia, a syndrome unique to human including soft cheeses, unpasteurized (raw) milk and pregnancy, featuring hypertension and proteinuria, deli-counter meats, especially chicken and vegetables. usually occurs after 20 weeks’ gestation [1]. Eclampsia is There was also a history of preeclampsia in the precedent defined as seizures activity or coma unrelated to other pregnancy. At the time of admission to our hospital, she cerebral conditions before, during pregnancy or post was in a comatose condition. Her temperature was 38.5°C, partum in patients with pre-eclampsia. Eclampsia creates blood pressure (BP) 200/120 mmHg. The remainder of the a functional derangement of multiple organ systems. examination was normal. No abnormalities were seen on Neurologic deficit rate of eclampsia is 7% and mortality ultrasound examination and fetal growth corresponded is 1%. Listeria monocytogenes is an intracellular organism with gestational age. that especially affectes patients with decreased cell The initial laboratory tests included haemoglobin mediated immunity such as the elderly, transplant 10.8 g dL , hematocrit 38.7%, white cell count 29800/μL, recipients, cancer patients, dialysis patients, patients with LDH: 683 U/L, albumin 3.6 g/L, CRP: 21 mg dL and +2 diabetes mellitus, suffering alcoholism, receiving long proteinuria. Platelet count, bilirubin, alanine and aspartate term corticosteroid treatment, liver failure, splenectomy transaminase and alkaline phosphatase were within and those with HIV infection [2, 3]. Listeria infection in normal limits. Tests for serum antibodies to hepatitis C pregnant women, at any stage of pregnancy, can lead to virus, hepatitis B surface antigen, veneral disease research miscarriage, stillbirth or premature birth, or very sick laboratory, anti-HIV tests were also negative. The blood newborn babies. Perinatal listeriosis mainly affects women and urine culture were negative. She received nifedipine without additional predisposing factors. Alimentary sublingual following alpha methyle dopa 3x1. Although an transmission is considered the most common route of induction of the labor had been started with magnesium acquisition of Listeria infection. Most cases of human sulphate infusion, because of the labor arrest and fetal listeriosis, including those during pregnancy, have been distress, a cesarean operation was done under general sporadic, with occasional common-source outbreaks. anesthesia and delivery of a 3300 g female fetus was Such outbreaks have been associated with the achieved. The Apgar scores were 1 and 5 at 7 and 8 min, consumption of a wide variety of foods, ranging from respectively. The procedure was uncomplicated. In the dairy products, to ready-to-eat deli meats, melons and earlier of postoperative period she became suddenly hummus [4-6]. In listeriozis during pregnancy Central confused and had a stiff neck. The magnesium level Nervous System (CNS) infection is rarely seen in the ranged between 4.6-6.2 mg dL , 6x1/day. Following absence of other preexisting risk factors [2]. Our aim was neurological consultation, A CT scan of the head showed to evaluate a pregnant woman with eclampsia in which cerebral edema. Therefore mannitol was iniated. Two days Listeria meningitis initially was not suspected, with regard after, she had a skin lesion comprised of vesicular lesions to the possible risk factors and obstetric management and involving the nose and mounth. Lumbar puncture was complications influencing clinical outcome. realised with a suspicion of herpetic encephalitis.