A woman presents with leakage of fluid per vaginum and meconium stained liquor at 34 weeks of gestation. The most likely organism causing infection would be:: (A) Listeria monocytogenes, (B) Toxoplasmosis, (C) CMV, (D) Herpes
Answer is A. Patient with leakage of fluid and meconium stained liquor at 34 weeks of gestation is suffering from preterm premature rupture of membrane (PROM). Infections play a major role in the premature rupture of membrane. Most commonly found organisms were trichomonas vaginalis, Chlamydia trachomatis, mycoplasma, group B streptococci and other bacteria. From the options listed in the question only listeria monocytogens is a bacteria, so it is the cause of PROM in this patient. Ref: Harrison's Principles of Internal Medicine, 17th Edition, Page 897; Williams Obstetrics, 23rd Edition, Page 163, 1224; Textbook of Obstetrics By Padubidri, 1st Edition, 2006, Page 126; Avery's Diseases of the Newborn, 8th Edition, Page 556, 557