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Listeria monocytogenes peritonitis
J L Soto-Hernandez1, D Nunley, C C Gutierrez
1Department of Medicine, Veterans Administration Medical Center, Johnson City, Tennessee.
Abstract:
Listeria monocytogenes peritonitis in a patient with cirrhosis and simultaneous soft tissue infection is reported. Six previously documented cases are reviewed. All seven patients were bacteremic, suggesting hematogenous seeding to the peritoneum as the pathogenic mechanism. Clinical and laboratory characteristics of L. monocytogenes peritonitis are compared with peritonitis of other bacterial etiologies.
Insights
Listeria monocytogenes peritonitis is rare, especially in cirrhosis patients. This study suggests bloodstream infection is the likely cause, highlighting the need for comparative analysis with other bacterial peritonitis.
Area of Science:
- Infectious Diseases
- Hepatology
- Microbiology
Background:
- Listeria monocytogenes is an opportunistic pathogen.
- Cirrhosis increases susceptibility to infections.
- Peritonitis is a serious complication in patients with liver disease.
Observation:
- A case of Listeria monocytogenes peritonitis in a patient with cirrhosis and soft tissue infection is presented.
- A review of six previously documented cases was conducted.
- All seven reported patients had bacteremia.
Findings:
- Hematogenous seeding from a distant infection site is the probable pathogenic mechanism for Listeria monocytogenes peritonitis.
- Clinical and laboratory features of Listeria monocytogenes peritonitis were compared to other bacterial causes.
- Listeria monocytogenes peritonitis presents unique characteristics compared to common bacterial peritonitis.
Implications:
- This study enhances understanding of Listeria monocytogenes peritonitis pathogenesis in immunocompromised individuals.
- Early recognition and appropriate management are crucial for improving outcomes.
- Further research is warranted to elucidate specific risk factors and optimal treatment strategies.