Uncommon manifestations of Listeria monocytogenes infection

Ruchir Chavada1, Caitlin Keighley2, Syed Quadri3

  • 1Department of Microbiology and Infectious Diseases, Sydney South Western Area Pathology Services (SSWPS), Liverpool Hospital, Corner Goulburn Street, Liverpool, NSW, 2170, Australia. ruchirchavda@gmail.com.

BMC Infectious Diseases
|December 4, 2014
PubMed
Abstract

Insights

Focal Listeria monocytogenes infections are rare and difficult to diagnose, often requiring microbiological confirmation. Early diagnosis and treatment are crucial for favorable outcomes in immunocompromised patients.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Clinical Medicine

Background:

  • Listeria monocytogenes can cause severe infections like gastroenteritis, meningitis, and bacteraemia, particularly in vulnerable populations.
  • Focal infections due to Listeria monocytogenes are uncommon, especially in sporadic, non-outbreak settings, posing diagnostic challenges.

Observation:

  • Three Australian cases of unusual focal Listeria monocytogenes infections are presented: septic arthritis of a prosthetic knee, prosthetic vascular graft infection, and perianal abscess.
  • Diagnosis was delayed in two cases due to the atypical presentation and initial underestimation of Listeria monocytogenes as the causative agent.
  • Matrix-Associated Laser Desorption/Ionization-Time of Flight Mass Spectrometry (MALDI-TOF MS) facilitated earlier and accurate identification of Listeria monocytogenes.

Findings:

  • All three patients had Listeria monocytogenes isolated from clinical specimens and were successfully treated with antibiotics and surgery.
  • Public health investigations found no specific dietary links requiring intervention beyond general advice.

Implications:

  • Sporadic focal Listeria infections are infrequent and often diagnosed late, highlighting the importance of microbiological sampling for definitive diagnosis and treatment.
  • Thorough clinical history, including dietary assessment, and patient counseling on food safety are crucial, especially for immunocompromised individuals at risk of listeriosis.

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