title: Factors associated with the acquisition and severity of gestational listeriosis.
abstract: Gravid mammals are more prone to listeriosis than their nongravid counterparts. However, many features of the disease in gravid animals are not well defined. We determined, in mice, that increased susceptibility to lethal infection following oral inoculation begins surprisingly early in pregnancy and extends through embryonic development. Pregnancy did not demonstrably increase the spread of listeriae from the intestine to the liver and spleen in the initial 96 h period post inoculation. Consequently, it appeared that gravid animals were competent to contain an enteric infection, but in those instances where escape did occur, a lethal outcome was more likely. Interestingly, colonic colonization level and prevalence, measured 96 h post inoculation, was significantly higher in gravid individuals. In terms of human risk factors for listeriosis, our results suggest that the window of listeriosis susceptibility afforded by pregnancy may be open longer than previously appreciated. Our results also suggest that while gravid animals are competent to contain an enteric infection, enteric carriage rate may be more of a factor in defining disease incidence than previously considered.
authors.affiliation: Department of Population Health and Pathobiology, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina, United States of America.
authors.forename: M Mitsu
authors.initials: MM
authors.lastname: Suyemoto
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Spears
authors.forename: Terri S
authors.initials: TS
authors.lastname: Hamrick
authors.forename: Jill A
authors.initials: JA
authors.lastname: Barnes
authors.forename: Edward A
authors.initials: EA
authors.lastname: Havell
authors.forename: Paul E
authors.initials: PE
authors.lastname: Orndorff
mesh_terms: D000818:Animals; D004195:Disease Models, Animal; D005260:Female; D006801:Humans; D008087:Listeria / Q000502:physiology*; D008088:Listeriosis / Q000196:embryology* / Q000382:microbiology* / Q000473:pathology; D008099:Liver / Q000382:microbiology / Q000473:pathology; D051379:Mice; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology* / Q000473:pathology; D012720:Severity of Illness Index; D013154:Spleen / Q000382:microbiology / Q000473:pathology