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Updated: Jun 9, 2025

Assessing Bacterial Invasion of Cardiac Cells in Culture and Heart Colonization in Infected Mice Using Listeria monocytogenes
Published on: May 27, 2015
Two Cases of Listeria monocytogenes-Induced Infective Endocarditis
Mengli Tang1, Xingbing Lu1, Yuxiao Li2
1Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Abstract:
Listeria monocytogenes is a prevalent gram-positive intracellular zoonotic pathogen that is frequently associated with foodborne illnesses and opportunistic infections. This bacterium is responsible for causing various clinical manifestations, including bacteremia, meningitis, and encephalitis, and is primarily transmitted through contaminated food consumption. This study presents two cases of severe endocarditis in patients with heart valve disease caused by L. monocytogenes. Infection was confirmed by blood culture and pathogen culture of the valve pus. Early detection, clinical suspicion, and appropriate treatment are crucial for improving the prognosis of patients with listeriosis. The combination of ampicillin and aminoglycosides remains the most effective treatment for listeriosis.
Insights
Listeria monocytogenes can cause severe endocarditis, particularly in patients with heart valve disease. Prompt diagnosis and combination antibiotic therapy with ampicillin and aminoglycosides are vital for successful treatment.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Listeria monocytogenes is a significant foodborne pathogen causing opportunistic infections.
- Listeriosis presents with diverse clinical manifestations, including serious neurological and bloodstream infections.
- Heart valve disease increases susceptibility to severe bacterial infections.
Observation:
- This study details two cases of severe endocarditis caused by Listeria monocytogenes.
- Patients presented with pre-existing heart valve disease, a known risk factor.
- Diagnosis was confirmed through blood cultures and analysis of valve pus.
Findings:
- Listeria monocytogenes was identified as the causative agent of severe endocarditis in both cases.
- Blood and valve pus cultures confirmed the bacterial presence.
- The severity of the infection highlights the pathogen's potential to affect cardiac structures.
Implications:
- Early clinical suspicion and rapid diagnosis are critical for improving patient outcomes in listeriosis.
- Combination therapy with ampicillin and aminoglycosides is the recommended treatment.
- Understanding the link between Listeria monocytogenes and endocarditis is crucial for public health and clinical practice.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical features and Diagnostic Tests
Endocarditis III: Medical Management
Myocarditis II: Clinical features and Diagnostic Tests
Myocarditis I: Introduction
Myocarditis III: Medical Management

