[Listeriosis of central nervous system in patients with ulcerative colitis - case study]

Agnieszka Żak-Gołąb1, Krzysztof Dąbrowski2, Antoni Hrycek1

  • 1Klinika Chorób Wewnętrznych, Autoimmunologicznych I Metabolicznych, Śląski Uniwersytet Medyczny, Katowice, Polska.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|July 18, 2017
PubMed

Insights

Patients with inflammatory bowel disease (IBD) face increased infection risks, particularly from Listeria monocytogenes. Early detection and treatment are crucial for managing this serious, potentially fatal bacterial infection in IBD patients.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Microbiology

Background:

  • Inflammatory bowel disease (IBD), including ulcerative colitis, has seen rising morbidity.
  • Certain medications used in IBD treatment, like purine analogs, are linked to increased infection susceptibility.
  • Listeria monocytogenes is a gram-positive bacterium causing listeriosis, a serious infection.

Observation:

  • Listeriosis incidence is notably higher in IBD patients compared to the general population.
  • Listeria monocytogenes can lead to severe conditions such as sepsis, myocarditis, and central nervous system infections.
  • Common symptoms of listeriosis include fever, nausea, vomiting, and diarrhea.

Findings:

  • IBD patients exhibit a heightened risk of Listeria monocytogenes infection.
  • The severity of listeriosis poses a significant threat to the health and survival of IBD patients.

Implications:

  • Special attention to prophylaxis and treatment of listeriosis in IBD patients is essential.
  • Prompt diagnosis and management are critical due to the potentially fatal nature of these infections in this vulnerable group.
  • Further research into preventative strategies and optimized treatment protocols for listeriosis in IBD is warranted.

Related Concept Videos

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
695
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
1.3K
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy01:30

Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
972
Drugs for Treatment of Ulcerative Colitis in IBD01:29

Drugs for Treatment of Ulcerative Colitis in IBD

Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
577
Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
1.4K