Listeria monocytogenes-induced monomicrobial non-neutrocytic bacterascites

Praveen Jammula1, Rajiv Gupta

  • 1Department of Internal Medicine, University of Texas Medical Branch, Galveston 77555-0570, USA.

Southern Medical Journal
|November 12, 2002
PubMed

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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