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Imaging InlC Secretion to Investigate Cellular Infection by the Bacterial Pathogen Listeria monocytogenes
Published on: September 19, 2013
Chronic prosthetic joint infection caused by Listeria monocytogenes
Peter Kleemann1, Eugen Domann2, Trinad Chakraborty2
1Institute of Medical Microbiology and Hygiene, University of Marburg, Hans-Meerwein Strasse 2, 35032 Marburg, Germany.
Abstract:
We report what is to the best of our knowledge the first case of persistent human listeriosis. A housewife underwent excision of a leiomyosarcoma and implantation of a prosthetic knee device. Infection of the device with Listeria monocytogenes occurred and persisted for 2 years. Despite having an allergy to ampicillin, the patient was cured solely by antibiotics and without surgery.
Insights
This case study details the first reported instance of persistent human listeriosis. A prosthetic knee infection caused by Listeria monocytogenes was successfully treated with antibiotics alone, even with a drug allergy.
Area of Science:
- Infectious Diseases
- Orthopedic Surgery
- Microbiology
Background:
- Prosthetic joint infections pose significant treatment challenges.
- Listeria monocytogenes is an opportunistic pathogen.
- Leiomyosarcoma treatment can involve prosthetic devices.
Observation:
- A patient developed a persistent Listeria monocytogenes infection of a prosthetic knee device.
- The infection persisted for two years despite initial management.
- The patient had a known allergy to ampicillin.
Findings:
- Successful eradication of persistent prosthetic joint infection with Listeria monocytogenes.
- Antibiotic therapy alone achieved cure without device removal or further surgery.
- Treatment was effective despite patient's ampicillin allergy.
Implications:
- Highlights the potential for antibiotic-only cure in select persistent prosthetic joint infections.
- Suggests novel therapeutic strategies for challenging orthopedic implant infections.
- Emphasizes the importance of considering Listeria monocytogenes in prosthetic device infections.
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