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Re: Listeriosis From: Betsy Hyde (elishyde@mindspring.com) Thu Apr 13 21:21:46 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marilyn Ringstaff: "Felicia Stewart" Previous message: Dean Huffman .: "Did You Know ..." In reply to: DoctorJoe@aol.com: "Re: Listeriosis" thanks, Joe. Betsy On Apr 13, 2006, at 10:14 PM, DoctorJoe@aol.com wrote: > > In a message dated 4/13/06 7:06:58 PM, elishyde@mindspring.com writes: > >> 1) What does "no deli meats" mean? I understand the" no processed >> meats, smoked fish, deli salads, soft cheese, unpasteurized dairy >> products, raw hotdogs, pates". What about turkey, roast beef, ham >> that is sliced to order? > > If it's cooked it's a priori okay. But if it's sitting around, > exposed to possibly contaminated things (like soft cheeses), then > it's suspect. > >> >> 2) In unexplained IUFD should we do blood/placental cultures to look >> for listeria? > > If it's an IUFD due to L. monocytogenes, the pathologic picture > should hint at it. If you're suspicious of Listeria as the > offending agent, you have to specify that to the lab. Listeria > looks like "diphtheroids" and needs to be specifically cultured > for. It's relatively fastidious and slow growing. > >> >> 3) Given the nonspecific nature of some (esp non-CNS ) listeriosis >> infection, what would trigger you to initiate a workup for >> listeriosis, and what would that workup be? > > IUFD of non-obvious cause, esp. if suspicous of infection or if > mother shows evidence of infection - cultures and alert the > pathologist to do the appropriate autopsy testing. > > Joe P. > Next message: Marilyn Ringstaff: "Felicia Stewart" Previous message: Dean Huffman .: "Did You Know ..." In reply to: DoctorJoe@aol.com: "Re: Listeriosis"

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