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Updated: Jul 5, 2025

Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
Clinical Findings of Listeria monocytogenes Infections with a Special Focus on Bone Localizations
Marco Bongiovanni1, Claudio Cavallo2, Beatrice Barda1
1Division of Infectious Diseases, Ente Ospedaliero Cantonale, 6900 Lugano, Switzerland.
Abstract:
Listeria monocytogenes is a Gram-positive pathogenic bacterium which can be found in soil or water. Infection with the microorganism can occur after ingestion of contaminated food products. Small and large outbreaks of listeriosis have been described in the past. L. monocytogenes can cause a number of different clinical syndromes, most frequently sepsis, meningitis, and rhombencephalitis, particularly in immunocompromised hosts. L. monocytogenes systemic infections can develop following tissue penetration across the gastrointestinal tract or to hematogenous spread to sterile sites, possibly evolving towards bacteremia. L. monocytogenes only rarely causes bone or joint infections, usually in the context of prosthetic material that can provide a site for bacterial seeding. We describe here the clinical findings of invasive listeriosis, mainly focusing on the diagnosis, clinical management, and treatment of bone and vertebral infections occurring in the context of invasive listeriosis.
Insights
Listeria monocytogenes, a foodborne pathogen, rarely causes bone and joint infections. This study focuses on diagnosing and treating invasive listeriosis, particularly bone and vertebral infections.
Area of Science:
- Microbiology
- Infectious Diseases
- Clinical Medicine
Background:
- Listeria monocytogenes is a Gram-positive bacterium found in soil and water.
- Infection occurs via ingestion of contaminated food, leading to listeriosis outbreaks.
- Common clinical syndromes include sepsis, meningitis, and rhombencephalitis, especially in immunocompromised individuals.
Purpose of the Study:
- To describe clinical findings of invasive listeriosis.
- To focus on the diagnosis, clinical management, and treatment of bone and vertebral infections caused by L. monocytogenes.
Main Methods:
- Clinical case review.
- Analysis of diagnostic approaches.
- Evaluation of treatment strategies for invasive listeriosis.
Main Results:
- L. monocytogenes systemic infections can arise from gastrointestinal tract penetration or hematogenous spread.
- Bone and joint infections are rare, often associated with prosthetic materials.
- Detailed clinical findings for invasive listeriosis, including bone/vertebral infections, are presented.
Conclusions:
- Invasive listeriosis, though rare, can manifest as severe bone and joint infections.
- Early diagnosis and appropriate management are crucial for favorable outcomes.
- This study highlights key aspects of managing L. monocytogenes bone and vertebral infections.
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