Infección por Listeria monocytogenes en una mujer gestante con lupus eritematoso sistémico y síndrome HELLP

Autores/as

DOI:

https://doi.org/10.18270/rsb.v9i1.2645

Palabras clave:

Listeria monocytogenes, Embarazo, Síndrome HELLP, Trombocitopenia, Lupus eritematoso sistémico, Inmunosupresión

Resumen

La listeriosis es una enfermedad transmitida principalmente por alimentos contaminados con Listeria monocytogenes. Se presenta con mayor fre-cuencia en neonatos, mayores de 65 años, mujeres gestantes y pacientes inmunosuprimidos. La infección por L. monocytogenes durante la gesta-ción se asocia a una importante morbimortalidad materno-fetal.Se reporta el caso de una mujer gestante de 29 años de edad con lupus eritematoso sistémico, a quien se le diagnosticó bacteriemia por L. monocytogenes. Durante la hospitalización, el cuadro clínico se complicó con hipertransaminasemia y, ante la presencia de trombo-citopenia, se estableció el diagnóstico presuntivo de síndrome HELLP. El alto riesgo de morbimortalidad llevó a una finalización precoz de la gestación.La importancia de este trabajo clínico radica en presentar la dificultad en el diagnóstico y manejo en una paciente gestante de gran complejidad con una infección relativamente frecuente que puede pasar desapercibida.

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Publicado

2019-08-06

Cómo citar

Appel, T. M., Castellanos, D., Uriel, M., & Romero, X. (2019). Infección por Listeria monocytogenes en una mujer gestante con lupus eritematoso sistémico y síndrome HELLP. Revista Salud Bosque, 9(1), 85–97. https://doi.org/10.18270/rsb.v9i1.2645

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