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Updated: Apr 15, 2026

Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
Listeria monocytogenes - characterization of strains isolated from clinical severe cases
A M Borcan1, S Huhulescu2, A Munteanu3
1"Matei Bals" National Institute for Infectious Diseases, Bucharest, Romania.
Abstract:
Listeria monocytogenes became an increasing pathogen involved more frequently in sporadic severe illnesses and outbreaks of foodborne infections. This study investigates in vitro susceptibility of 26 strains of Listeria monocytogenes isolated from the clinical specimens collected between March 2009 and November 2013, from 24 patients hospitalized in three medical institutions in Bucharest. All isolates were tested by disk diffusion method to 15 antimicrobial agents, by using disk diffusion tests. Among the 26 clinical L. monocytogenes isolates tested, no multidrug resistant strains were detected, but 18 (72%) were found to be resistant to at least one clinically relevant antibiotic. Among them, 18 clinical isolates were resistant against ciprofloxacin also. Resistance to Ciprofloxacin was particularly noticed to the strains in Romania. Serological and molecular typing by Multiplex PCR method detected two molecular types 1/2 a, 3a and 1/2 b, 3b, as to the more frequent isolated among studied cases. These types of L. monocytogenes could be associated to the higher pathogenic activity of immunodeficient patients.
Insights
Most Listeria monocytogenes clinical isolates in Romania showed resistance to ciprofloxacin and other antibiotics. Two common molecular types were identified, potentially linked to increased severity in immunocompromised patients.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Research
Background:
- Listeria monocytogenes is an emerging pathogen causing severe foodborne illnesses and outbreaks.
- Clinical isolates require ongoing surveillance for antimicrobial susceptibility patterns.
Purpose of the Study:
- To investigate the in vitro antimicrobial susceptibility of clinical Listeria monocytogenes strains.
- To identify molecular types of Listeria monocytogenes prevalent in clinical settings.
Main Methods:
- Disk diffusion method was used to test 26 clinical isolates against 15 antimicrobial agents.
- Multiplex PCR was employed for serological and molecular typing.
Main Results:
- No multidrug-resistant strains were detected, but 72% of isolates were resistant to at least one antibiotic.
- A significant finding was the resistance of 18 isolates to ciprofloxacin, particularly noted in strains from Romania.
- Two prevalent molecular types, 1/2 a, 3a and 1/2 b, 3b, were identified.
Conclusions:
- Clinical Listeria monocytogenes isolates in Romania exhibit concerning resistance patterns, especially to ciprofloxacin.
- Identified molecular types may correlate with increased pathogenicity in immunocompromised individuals.
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