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.

Microorganisms
|January 23, 2024
PubMed

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.