Perinatal Listeriosis: A Population-Based Multicenter Study in Barcelona, Spain (1990-1996)

Nolla-Salas, Juan; Bosch, Jutte van der Werff ten; Gasser, I; Viñas, L.; M, de Simon; Almela, Manuel; Latorre, Carlota Cesarini; Coll, Pablo Rodríguez; Ferrer,

doi:10.1055/s-2007-994067

Cited by 32 publications

(8 citation statements)

References 9 publications

(10 reference statements)

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“…A decrease in the perinatal fatality rate could be due to earlier recognition of cases as a result of increased awareness by mothers and physicians and/or a decreased rate with which physicians culture aborted tissues. Other countries report perinatal fatality rates ranging from 19 % in Barcelona, Spain [29] to 45 % in Israel [30]. Differences in perinatal fatality rates may be related to the frequencies which aborted tissues are cultured as there is great variability in incidence rates between studies and in medical centres within studies, suggesting that many cases escape diagnosis [30].…”

Section: Discussionmentioning

confidence: 99%

Pregnancy-associated listeriosis

2010

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Infection by Listeria monocytogenes in pregnant women may result in fetal loss or invasive disease in the newborn. We examined listeriosis cases reported through the U.S. Listeria Initiative during 2004-2007. Cases were classified as pregnancy-associated if illness occurred in a pregnant woman or an infant aged <28 days. Of 758 reported Listeria cases, 128 (16.9%) were pregnancy-associated. Maternal infection resulted in four neonatal deaths and 26 (20.3%) fetal losses. Invasive illnesses in newborns (n=85) were meningitis (32.9%) and sepsis (36.5%). Pregnant women with Listeria were more likely to report Hispanic ethnicity (52.8% vs. 25.6%, respectively; OR 3.3 95% CI 2.2-4.8) than mothers giving live birth in the USA during 2005 and were more likely to report consumption of Mexican-style cheese (OR 2.6, 95% CI 1.6-4.2) than were non-pregnant patients with Listeria infection. Pregnant woman comprised a considerable proportion of reported listeriosis cases. Further declines in pregnancy-associated listeriosis will require education about avoiding high-risk foods, and continued regulatory and industry efforts to decrease Listeria in foods.

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Section: Discussionmentioning

confidence: 99%

Pregnancy-associated listeriosis

2010

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“…monocytogenes has a striking predilection for invading the CNS in humans. Reviews published in the past 40 years show that CNS infection is present in 28 to 79% of cases of invasive listeriosis in nonpregnant adults (229,277,358) and in 13 to 44% of neonates (119,251,278,348,377). In contrast to extracellular bacteria that commonly cause CNS infection, i.e., S. pneumoniae, N. meningitidis, and H. influenzae, L. monocytogenes infection results in a variety of CNS manifestations including meningitis, meningoencephalitis, rhombencephalitis, cerebritis, and brain abscess.…”

Section: Listeria Monocytogenesmentioning

confidence: 99%

Invasion of the Central Nervous System by Intracellular Bacteria

2004

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Infection of the central nervous system (CNS) is a severe and frequently fatal event during the course of many diseases caused by microbes with predominantly intracellular life cycles. Examples of these include the facultative intracellular bacteria Listeria monocytogenes, Mycobacterium tuberculosis, and Brucella and Salmonella spp. and obligate intracellular microbes of the Rickettsiaceae family and Tropheryma whipplei. Unfortunately, the mechanisms used by intracellular bacterial pathogens to enter the CNS are less well known than those used by bacterial pathogens with an extracellular life cycle. The goal of this review is to elaborate on the means by which intracellular bacterial pathogens establish infection within the CNS. This review encompasses the clinical and pathological findings that pertain to the CNS infection in humans and includes experimental data from animal models that illuminate how these microbes enter the CNS. Recent experimental data showing that L. monocytogenes can invade the CNS by more than one mechanism make it a useful model for discussing the various routes for neuroinvasion used by intracellular bacterial pathogens

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“…Moreover, L. monocytogenes is a zoonotic microorganism, but only few studies have specifically compared strains of L. monocytogenes isolated from animal clinical cases and those responsible for infection in humans (1,9). Several epidemiological studies of human and animal listeriosis in Spain have been published during the last decade (3,13,21,22), but molecular characterization was not performed. Thus, the purpose of this study was to extend the knowledge about the diversity of the Spanish isolates of L. monocytogenes from animal and human infections as well as feedstuffs.…”

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confidence: 99%