The incidence of listeriosis associated with pregnancy is approximately 10 times higher than in the general population. Fetal and neonatal infections can be severe, leading to fetal loss, preterm labor, neonatal sepsis, meningitis, and death. Transplacental transmission may result in granulomatosis infantiseptica. Infants with this disorder have disseminated abscesses and/or granulomas in multiple internal organs (liver, spleen, lungs, kidneys, brain). Skin lesions, papular or ulcerative, may be