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Third trimester Listeriosis in twin pregnant woman with multiple organ dysfunction syndrome and combined endocarditis: A case report

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ÇѾֶó ( Han Ae-Ra ) - ¿ï»ê´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¾Æ»êº´¿ø »êºÎÀΰúÇб³½Ç
¿øÇý¼º ( Won Hye-Sung ) - ¿ï»ê´ëÇб³ Àǰú´ëÇÐ ¼­¿ï¾Æ»êº´¿ø »êºÎÀΰúÇб³½Ç
Á¶ÁؽĠ( Cho Jun-Sik ) - °­¿ø´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
¾ÈűԠ( Ahn Tae-Gyu ) - °­¿ø´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
ÀÌÇâ¾Æ ( Lee Hyang-Ah ) - °­¿ø´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
ȲÁ¾À± ( Hwang Jong-Yun ) - °­¿ø´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
À̵¿Çå ( Lee Dong-Heon ) - °­¿ø´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç

Abstract

¸®½ºÅ׸®¾Æ °¨¿°ÁõÀº ±× ºóµµ´Â ³·À¸³ª ¼¼Æ÷ ¸Å°³¼º ¸é¿ªÀÌ ÀúÇϵǾî ÀÖ´Â »ç¶÷¿¡°Ô¼­ ¹ßº´Çϰí Ä¡»çÀ²°ú ÇÕº´ÁõÀÌ ³ôÀº ÁúȯÀÌ´Ù. ƯÈ÷ ÀӽŰú °ü·ÃµÈ ¸®½ºÅ׸®¾Æ °¨¿°ÁõÀÌ ¸¹°í, ÀӽŠÃʱ⿡´Â ÀÚ¿¬À¯»ê°ú ÅÂ¾Æ °¨¿°À» ÀӽЏ»±â¿¡´Â Á¶±âÁøÅë, À¯»ê, ÅÂ¾Æ °¨¿°, ½Å»ý¾Æ °¨¿° µîÀÇ ÇÕº´ÁõÀ» À¯¹ßÇÏ´Â °ÍÀ¸·Î ¾Ë·ÁÁ® ÀÖ´Ù. ÀúÀÚµéÀº ÀӽŠ34ÁÖ 4ÀÏÀÎ ½ÖµÕÀÌ Àӽźΰ¡ °í¿­°ú ±ÙÀ°ÅëÀ» ÁÖ¼Ò·Î ³»¿øÇÏ¿´´Ù°¡ ÆÐÇ÷Áõ, ´Ù¹ß¼ºÀå±â±â´ÉºÎÀüÁõÈıº, ½É³»¸·¿°À¸·Î ÁøÇàÇÏ¿© ÀÀ±ÞÁ¦¿ÕÀý°³¼ú·Î °Ç°­ÇÑ ½ÖµÕÀ̸¦ ºÐ¸¸ÇÑ ÈÄ Áø´ÜµÈ ¸®½ºÅ׸®¾Æ °¨¿°Áõ 1¿¹¸¦ °æÇèÇÏ¿´±â¿¡ °£´ÜÇÑ ¹®Çå °íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Human listeriosis is a relatively rare but serious disease with mortality rate 20~40%. Listeria monocytogenes affects patients with decreased cell mediated immunity such as the elderly, transplant recipients, cancer patients, renal failure, diabetes, HIV, pregnant women and unborn child, neonate. We experienced a case of listeriosis in twin pregnant woman at 35th weeks without preterm labor. The pregnant woman present sepsis with fever at first time. Sepsis progress to MODS (multiple organ dysfunction syndrome) and combined endocarditis. We reported it with brief of literatures.

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Listeria;Twin pregnancy;Trimester;third
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KCI
KoreaMed
KAMS