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Measuring Bacterial Load and Immune Responses in Mice Infected with Listeria monocytogenes
Published on: August 9, 2011
Listeria monocytogenes-induced monomicrobial non-neutrocytic bacterascites
1Department of Internal Medicine, University of Texas Medical Branch, Galveston 77555-0570, USA.
Abstract:
Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis of the liver. The organisms most commonly involved in this infection are gram-negative bacteria like Escherichia coli and Klebsiella pneumoniae, and gram-positive bacteria like Streptococcus pneumoniae and Staphylococcus aureus. Listeria monocytogenes is an uncommon gram-positive bacillus implicated in infections in neonates, pregnant females, the elderly, and immunocompromised patients. Listeria monocytogene-induced SBP is rare, with less than 40 cases reported in the medical literature. Monobacterial non-neutrocytic bacterascites (MNB) is a variant of SBP, where the ascitic fluid culture is positive but the ascitic neutrophil count is less than 250/mm3. Forty percent of these patients will subsequently have SBP. Only 2 cases of MNB from L monocytogenes have previously been reported. We report a case of MNB in a patient with cirrhosis whose ascitic neutrophil count was 164/mm', but Gram stain and microbiologic culture showed the growth of L monocytogenes.
Insights
Listeria monocytogenes rarely causes spontaneous bacterial peritonitis (SBP). This study details a rare case of monobacterial non-neutrocytic bacterascites (MNB) caused by Listeria monocytogenes in a patient with liver cirrhosis.
Area of Science:
- Hepatology
- Infectious Diseases
- Microbiology
Background:
- Spontaneous bacterial peritonitis (SBP) is a frequent complication in liver cirrhosis patients.
- Commonly, SBP is caused by gram-negative and gram-positive bacteria.
- Listeria monocytogenes is an uncommon cause of infection, particularly in immunocompromised individuals.
Observation:
- Monobacterial non-neutrocytic bacterascites (MNB) is a variant of SBP with positive ascitic fluid cultures but low neutrophil counts (<250/mm³).
- Listeria monocytogenes-induced SBP is exceptionally rare, with fewer than 40 cases reported.
- Only two prior cases of MNB attributed to L. monocytogenes have been documented.
Findings:
- This report describes a unique case of MNB in a patient with cirrhosis.
- The patient presented with an ascitic neutrophil count of 164/mm³.
- Gram stain and microbiologic cultures confirmed the presence of Listeria monocytogenes.
Implications:
- This case highlights the importance of considering L. monocytogenes in MNB, even with low neutrophil counts.
- Further research may elucidate the specific pathogenesis and risk factors for L. monocytogenes MNB in cirrhosis.
- Early identification and appropriate treatment are crucial for managing this rare but serious infection.
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