Recurrent Listeria monocytogenes aortic graft infection: confirmation of relapse by molecular subtyping

Holger Rohde1, Matthias A Horstkotte, Siobhan Loeper

  • 1Institut für Infektionsmedizin, Universitätsklinikum Hamburg-Eppendorf, Martinistrabetae 52, D-20246 Hamburg, Germany. rohde@uke.uni-hamburg.de

Insights

A rare recurrent Listeria monocytogenes infection was linked to an infected aortic prosthesis, confirmed by 18-F-Fluoro-d-deoxyglucose positron emission tomography (FDG PET) imaging. This case shows molecular typing and nuclear imaging are vital for studying Listeria pathogenesis and spread.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Medical Imaging

Background:

  • Recurrent Listeria monocytogenes infections pose significant clinical challenges.
  • Identifying the source of recurrent infections is crucial for effective treatment and preventing further transmission.
  • Aortic prosthesis infections are serious complications requiring accurate diagnostic approaches.

Observation:

  • A rare case of recurrent Listeria monocytogenes infection was identified.
  • The infection was definitively linked to an infected aortic prosthesis.
  • 18-F-Fluoro-d-deoxyglucose positron emission tomography (FDG PET) was instrumental in detecting the infected prosthesis.

Findings:

  • Molecular typing confirmed the recurrent nature of the Listeria monocytogenes infection.
  • FDG PET imaging successfully identified the infected aortic prosthesis as the source.
  • The combination of molecular and imaging techniques provided a comprehensive understanding of the infection.

Implications:

  • This case underscores the value of advanced molecular typing for tracking infectious disease outbreaks and recurrence.
  • Nuclear imaging, specifically FDG PET, is a powerful tool for diagnosing deep-seated infections like those involving prosthetic devices.
  • Integrating molecular epidemiology and advanced imaging enhances our ability to elucidate pathogen pathogenesis and transmission dynamics.