国际妇产科学杂志 ›› 2020, Vol. 47 ›› Issue (5): 595-597.

• 产科生理及产科疾病 病例报告 • 上一篇    下一篇

妊娠并发视神经脊髓炎谱系疾病感染李斯特菌致中期流产一例并文献分析

张心红,王凤英   

  1. 100053  北京,首都医科大学宣武医院妇产科
  • 收稿日期:2020-03-30 修回日期:2020-06-26 出版日期:2020-10-15 发布日期:2020-10-27
  • 通讯作者: 王凤英,E-mail:wfy1204@hotmail.com E-mail:xinxinh78@163.com

Abortion in Second Trimester due to Listeriosis in NMOSD during Pregnancy and Literature Review

ZHANG Xin-hong,WANG Feng-ying   

  1. Department of Obstetrics and Gynecology,Xuanwu Hospital Capital Medical University,Beijing 100053,China
  • Received:2020-03-30 Revised:2020-06-26 Published:2020-10-15 Online:2020-10-27
  • Contact: WANG Feng-ying,E-mail:wfy1204@hotmail.com E-mail:xinxinh78@163.com

摘要: 视神经脊髓炎谱系疾病是一种中枢神经系统自身免疫性疾病,多见于育龄期女性,妊娠可诱发或使疾病加重,且妊娠中期是视神经脊髓炎谱系疾病发病和复发的危险时期,可能与体液免疫密切相关。李斯特菌感染是一种食源性疾病,妊娠期女性的发生率远高于正常女性,尽管妊娠中期发病率较低,若孕妇免疫力低下,罹患李斯特菌的风险可能增加,最终导致流产的发生。现回顾性分析1例妊娠并发视神经脊髓炎谱系疾病感染李斯特菌的临床资料,分析其发病机制、临床表现、诊断,加深其疾病的认识,提高诊疗水平。

关键词: 孕妇;, 视神经脊髓炎;, 李斯特菌病;, 流产;, 妊娠中期

Abstract: Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune disease of the central nervous system, which is more common in women during the reproductive period. Pregnancy can induce or aggravate the disease. Moreover, the second trimester is a risk period for onset and recurrence of NMOSD, which may be closely related to humoral immunity. Listeria is a foodborne disease. The incidence of Listeria in pregnant women is much higher than that in normal women. Although the incidence is low in the second trimester, due to hypoimmunity, the risk of Listeria is increased, leading to miscarriage. The clinical data of Listeria infection with NMOSD during pregnancy were retrospectively analyzed to analyze its pathogenesis, clinical manifestations and diagnosis, so as to deepen the understanding of the disease and improve the level of diagnosis and treatment.

Key words: Pregnant women;, Neuromyelitis optica, Listeriosis;, Abortion;, Pregnancy trimester, second