UW+mehl. listeria 02-21 (1)

Question 1

Mehl. infection. if they say gram-positive rods, answer?

Answer 1

Listeria.

Question 2

Mehl. Listeria can be contracted by the pregnant female via …..?2

Answer 2

soft cheeses and deli meats.

Question 3

UW. table. pathogenesis? 3

Answer 3

Foodborne transmission
Bacterial invasion of intestinal epithelial cells
TRANSPLACENTAL PASSAGE TO FETUS

Question 4

UW. table. CP in immunocompetent host?

Answer 4

Febrile gastroenteritis

Question 5

UW. table. CP in immunocompromised, neonates, pregnant, elderly?

Answer 5

Invasive disease (eg sepsis, meningitis)

Question 6

UW. table. Labs?

Answer 6

Gram positive rods on culture (eg stools, blood, CSF)

Question 7

UW. table. Tx? 2

Answer 7

Supportive care for gastroenteritis in normal host

Parenteral antibiotics for invasive disease

Question 8

UW case. buvo picnic + nausea, watery diarrhea, and muscle aches, but no rashes or joint pain. cause?

Answer 8

listeria monocytogenes

Question 9

UW case. listeria vs S. aureus CP?

Answer 9

S.aureus = rare cause of intrauterine fetal demise

gastroenteritis dominated by nausea and vomiting.

Listeria - diarrhea

Question 10

UW. The bacteria can replicate at cold temperatures (eg, refrigeration) and invade the intestinal mucosa once ingested, causing gastroenteritis (eg, fever, vomiting, diarrhea).

Answer 10

.

Question 11

UW. listeria in healthy. CP?

Answer 11

are self-limited

Question 12

UW. listeria in pregnant (relatively immunosuppressed). CP?

Answer 12

at increased risk of invasive disease (eg, bacteremia) and fetal infection via transplacental transmission.

Question 13

UW. listeria. if infection in first/second trimester = 2 diseases?

Answer 13

Typically results in granulomatosis infantiseptica (ie, disseminated abscesses/granulomas) and possible intrauterine fetal demise.

Question 14

UW. listeria. if infection in third trimester = diseases 3?

Answer 14

may be less severe and present as fetal distress, preterm delivery, or early-onset neonatal sepsis.

Question 15

may be less severe and present as fetal distress, preterm delivery, or early-onset neonatal sepsis. TRIMESTER?

Answer 15

listeria. third trimester

Question 16

Typically results in granulomatosis infantiseptica (ie, disseminated abscesses/granulomas) and possible intrauterine fetal demise.

Answer 16

listeria. first/second

Question 17

UW. listeria. Foods avoided in pregnancy?

Answer 17

raw meats and vegetables, unpasteurized dairy products, and processed (eg, deli) meats.

Question 18

UW. listeria. sanitary recommendations?

Answer 18

proper handwashing after handling soil or decaying vegetation (eg, gardening)

Question 19

UW. Group B Streptococcus = can cause IUFD.
What CP of infection?

Answer 19

urinary tract infections rather than gastroenteritis.

Question 20

UW. borelia burgdorferi. CP?

Answer 20

erythema migrans rather than gastroenteritis

+ adverse fetal effects are uncommon.

Question 21

UW. Parvovirus CP?

Answer 21

can cause IUFD.
No gastroenteritis, it does not spread via food.

CP: arthralgias and arthritis (particularly of the small joints) and rash (not seen in this patient.

Question 22

UW. S aureus?

Answer 22

Rarely IUFD.
Cause nausea and vomiting, not diarrhea.