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Updated: Aug 1, 2026

Measuring Bacterial Load and Immune Responses in Mice Infected with Listeria monocytogenes
Published on: August 9, 2011
[Listeria monocytogenes meningitis complicated after operation for thoracic aortic aneurysm]
Yuichiro Yokoyama1, T Suzuki, Y Yamashita
1Department of First Surgery, Faculty of Medicine, Kagawa University, Kagawa, Japan.
Abstract:
The patient was a 71-year-old male. He was admitted as an emergency to our hospital because of impending rupture of thoracic aortic aneurysm with anterior chest pain and hoarseness. The aneurysm was saccular type and located in the lesser curvature of aortic arch. Emergency operation was performed. Entry of the aneurysm was excluded by including artificial graft on the deep hypothermic circulatory arrest. Postoperative course was uneventful, but sudden depression of consciousness level and pyrexia were occurred 1 week after the operation. In spite of treatment, this patient was died 12 days after the operation. Autopsy revealed meningitis and pericarditis due to Listeria monocytogenes. Listeriosis is a zoonotic disease found in various kinds of animals. This bacteria is distributed naturally all over the world with a little frequency of Listeriosis. But, if the Listeriosis was appeared, mortality rate would be high. Appropriate recognition and treatment is mandatory.
Insights
A 71-year-old male with a thoracic aortic aneurysm developed Listeria monocytogenes infection post-surgery, leading to meningitis and pericarditis. This case highlights the high mortality rate of listeriosis, emphasizing the need for prompt recognition and treatment.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Pathology
Background:
- A 71-year-old male presented with impending rupture of a thoracic aortic aneurysm.
- The saccular aneurysm was located in the lesser curvature of the aortic arch.
Observation:
- Emergency surgical repair using an artificial graft under deep hypothermic circulatory arrest was performed.
- Postoperatively, the patient experienced a sudden decline in consciousness and fever one week after the procedure.
Findings:
- Autopsy revealed meningitis and pericarditis caused by Listeria monocytogenes.
- Listeriosis, a zoonotic disease, has a high mortality rate when it occurs.
Implications:
- This case underscores the critical importance of considering and rapidly diagnosing Listeria monocytogenes infection in post-operative patients presenting with neurological and febrile symptoms.
- Prompt recognition and appropriate antimicrobial therapy are crucial for improving outcomes in listeriosis, particularly in immunocompromised or post-surgical individuals.
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