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Systemic Lupus Erythematosus Complicated with Listeria Monocytogenes Infection in a Pregnant Woman
Authors:Misato Morimoto  Keita Fujikawa  Shotaro Ide  Midori Akagi  Emiko Fujiwara  Akinari Mizokami  Atsushi Kawakami
Abstract:A 41-year-old woman with systemic lupus erythematosus (SLE) was admitted to our hospital due to a fever at 35 weeks of pregnancy. Laboratory testing revealed a low platelet count and elevated liver enzymes. Emergency Caesarean section was performed due to the risk of SLE exacerbation or hemolytic anemia, elevated liver enzyme, and low platelet count syndrome. Based on the blood culture results, the patient was diagnosed with Listeria monocytogenes bacteremia. She was treated with ampicillin and eventually recovered, and the neonate did not have any complications. Pregnant women with SLE are at risk of complications. Listeriosis should be monitored for and, if found, managed appropriately.
Keywords:Listeria monocytogenes   listeriosis   pregnancy   SLE
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