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[Ruptured mesenteric aneurysm from Listeria monocytogenes].

P Sockeel1, C Bredin, L Allanic

  • 1Service de Chirurgie Digestive, HIA Legouest, 27, avenue des Plantieres, BP 10, 57998 Metz-Armées, France. phsockeel@hotmail.com

Annales De Chirurgie
|June 20, 2006
PubMed
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Listeria monocytogenes infections are rare in the mesenteric artery, especially mycotic aneurysms. This case highlights a rare complication in an immunocompromised patient, emphasizing the need for vigilance.

Area of Science:

  • Infectious Diseases
  • Vascular Surgery
  • Medical Case Reports

Background:

  • Listeria monocytogenes typically causes infections in vulnerable populations like pregnant women, the elderly, and immunocompromised individuals.
  • Mycotic aneurysms, infections of arterial walls, are uncommon, particularly those involving the mesenteric artery.

Observation:

  • A case report details an immunocompromised woman hospitalized with meningoencephalitis caused by Listeria monocytogenes.
  • The patient required surgery for abdominal hemorrhagic shock resulting from a ruptured mycotic aneurysm of the inferior mesenteric artery.

Findings:

  • Arterial aneurysms caused by Listeria monocytogenes are rare, with only 17 cases previously reported in medical literature.
  • This case represents only the second reported instance of a mycotic aneurysm of the mesenteric artery linked to this pathogen.

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Implications:

  • This case underscores the potential for Listeria monocytogenes to cause rare vascular complications, even in the mesenteric artery.
  • It highlights the importance of considering unusual presentations of Listeria monocytogenes infections in immunocompromised patients.
  • Further research into the pathogenesis and management of Listeria monocytogenes-induced mycotic aneurysms may be warranted.