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Old 11-12-2010
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ObGyn question_ pregnant woman and cheese

Why all pregnant women should not eat soft cheese?
Hint…. Gram positive rod with tumbling motility
Source – integration between Kaplan lecture notes and goljan audio
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Old 11-12-2010
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increase risk of listeria infection in fetus!!!!!!!!! it also can cause miscarriage & stillbirth
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Old 11-12-2010
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Correct Answer

Quote:
Originally Posted by mtoi View Post
Why all pregnant women should not eat soft cheese?
Hint…. Gram positive rod with tumbling motility
Source – integration between Kaplan lecture notes and goljan audio
organism-listeria monocytogens
S/S-flu like illness in pregnancy, disease is generally acquired in third trimester when immunity is low.
why we are concerned-because it can be transferred transplacentally leading to granulomatosus infantisepticum which will present with premature birth.
can lead to meningitis in neonate.
in immunocompromised hosts also listeria may present with meningitis.

management-aminopenicillins are doc.
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Old 11-12-2010
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Yup - Listeria, Rx- aminopenicillins

Can cause spontaneous abortions too - Listeria in pregnancy is bad news...

The other things that kill neonates are E.Coli and Group B Strep.
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Old 11-13-2010
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Why all pregnant women should not eat soft cheese?
Hint…. Gram positive rod with tumbling motility
Source – integration between Kaplan lecture notes and goljan audio
soft cheese listeria monocytogenes, gram positive rod with tumbling motility
who else has tumbling motility - trichomonas vaginalis
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