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Listeria pneumonia. A case report.

L Whitelock-Jones1, J Carswell, K C Rasmussen

  • 1Department of Medicine, Edendale Hospital, Pietermaritzburg.

South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
|February 18, 1989
PubMed
Summary
This summary is machine-generated.

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A 42-year-old man developed atypical pneumonia caused by Listeria monocytogenes. Prompt treatment with intravenous penicillin and gentamicin led to complete recovery and radiographic clearance.

Area of Science:

  • Medicine
  • Infectious Diseases
  • Pulmonology

Background:

  • Atypical pneumonia can present with varied clinical and radiological signs.
  • Bacterial pneumonia requires accurate pathogen identification for effective treatment.

Observation:

  • A 42-year-old male presented with persistent chest pain and dry cough.
  • Clinical examination revealed dullness at the left lung base.
  • Chest radiography showed left lower zone consolidation.

Findings:

  • Pneumonia progressed despite initial antibiotic therapy with ampicillin and cloxacillin.
  • Blood cultures identified Listeria monocytogenes as the causative agent.
  • Monocytosis was noted in the white blood cell count.

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Implications:

  • Listeria monocytogenes should be considered in cases of atypical or refractory pneumonia.
  • Intravenous penicillin and gentamicin are effective treatment options for Listeria monocytogenes pneumonia.
  • Early diagnosis and appropriate antibiotic selection are crucial for favorable outcomes in pneumonia.