Two cases of listeriosis

This is the second report of listeriosis in Sri Lanke. It is a disease with a changing clinical pattern. Most cases are from people at the extremes of age and from people with an underlying malignancy of the lymphoproliferative and renal transplant patients. But it is now being increasingly reported in previously healthy people. The two cases presented here are from previously healthy children. Both of them also manifested a rash which helped in the detection of the second case. A rash has not been described in the literature as characteristic or a common feature other than in neo-natal listeriosis.