Epidemic perinatal listeriosis at autopsy |
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| Authors: | Edward C. Klatt MD Zdena Pavlova MD Annabel J. Teberg MD M. Lynn Yonekura MD |
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| Affiliation: | 1. Department of Mathematics, Beijing Key Laboratory on Mathematical Characterization, Analysis, and Applications of Complex Information, Beijing Institute of Technology, Beijing 100081, China;2. Institute of Applied Physics and Computational Mathematics, Beijing 100088, China;1. Graduate Program in Materials Science and Engineering (PGMAT), Federal University of Santa Catarina (UFSC), 88040-900 Florianópolis, SC, Brazil;2. Laboratory of Glass-Ceramic Materials (VITROCER), Federal University of Santa Catarina (UFSC), 88040-900, Florianópolis, SC, Brazil;2. Division of Food and Animal Science, College of Agriculture, Food Science and Sustainable Systems, Kentucky State University, Frankfort 40601;3. Department of Food Science, Agricultural Research Organization, the Volcani Center, Bet Dagan, 50250, Israel;4. Department of Animal Sciences, Institute of Food and Agricultural Science, University of Florida, Gainesville 32606;1. Department of Physiology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;2. Department of Neurobiology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;3. Department of Neuropharmacology, Interdisciplinary Graduate School of Medicine, University of Yamanashi, Yamanashi 409-3898, Japan, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;4. Department of Anesthesiology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;5. Pasarow Mass Spectrometry Laboratory, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;6. Brain Research Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;7. UCLA Cardiac Arrhythmia Center, Neurocardiology Research Center for Excellence, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;8. Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;9. Department of Neurology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;10. Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA;11. Center for Neurobehavioral Genetics, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90095-1751, USA |
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| Abstract: | Seven cases of listeriosis identified at perinatal autopsy are described. The cases occurred during the time of a 1985 Los Angeles, California, epidemic of listeriosis from suspected food contamination by Listeria monocytogenes. In only one of seven cases were gross pathologic lesions encountered. Microscopic lesions in six cases consisted of rare, localized microabscesses or granuloma-like lesions in multiple organs and contained histiocytes, monocytes, lymphocytes, and polymorphonuclear leukocytes with variable necrosis. One case had no gross or microscopic findings. Organomegaly was uncommon. The diagnosis was confirmed in three cases by postmortem blood culture. Complete perinatal autopsy is important for confirmation of listeriosis when microbiologic, gross, or microscopic findings alone may not yield characteristic features. |
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