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Early listeriosis after liver transplantation: Report of two cases

Estelle Piette1, Morgan Vandermeulen1, Nicolas Meurisse1

  • 1Department of Abdominal and Transplant Surgery, CHU Liege, University of Liege (CHU ULiege), Liege, Belgium.

Transplant Infectious Disease : an Official Journal of the Transplantation Society
|May 30, 2019
PubMed

Insights

Severe Listeria infection can occur in liver transplant recipients. Prompt treatment with intravenous ampicillin and food safety education are crucial for managing this rare but serious complication.

Area of Science:

  • Infectious Diseases
  • Transplantation Medicine
  • Microbiology

Background:

  • Listeria monocytogenes causes rare, severe infections like listeriosis and sepsis in transplant recipients.
  • Listeriosis is more commonly associated with kidney or bone marrow transplants than liver transplants.

Observation:

  • Two cases of severe Listeria infection occurred within four months post-liver transplantation in patients recovering on the ward.
  • These infections presented as systemic listeriosis in liver transplant recipients.

Findings:

  • Both patients with severe Listeria infection were successfully treated with intravenous ampicillin.
  • Early listeriosis post-solid organ transplantation may potentially be prevented by trimethoprim-sulfamethoxazole prophylaxis.

Implications:

  • Transplant physicians should be aware of the risk of listeriosis in liver transplant recipients.
  • Providing food safety advice is essential for patients undergoing liver transplantation.
  • Intravenous ampicillin is a potential effective treatment for systemic listeriosis in solid organ transplant recipients.
Keywords:
ascitescomplicationsinfectionlisteria monocytogenesliver transplantationmeningitisperitonitissepsis

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