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Published on: May 6, 2013
Listeria Monocytogenes: A Case Series and Clinical Insights from a Tertiary Care Hospital
Nidhi Sharma1, Abhishek Sharma2, Vismit Mungi3
1Department of Microbiology, GMC Datia, Madhya Pradesh, India.
Abstract:
Listeria monocytogenes is a rare but serious illness, especially in the immunocompromised patient. It causes invasive infection, such as bacteremia and meningitis with insidious presentation and high mortality without treatment. A cluster of six Listeria monocytogenes bacteremia was noted within 10 months at a tertiary care referral center. Patients were 27-72 years old; four also had concomitant immunosuppressive diseases, including chronic renal disease, diabetes mellitus, and cancer. All the infections were confirmed on blood culture performed with the VITEK 2 system. The organisms were all gentamicin and ampicillin-sensitive. Five patients improved on intravenous antibiotic therapy, and one died from multiorgan failure. The series reiterates the importance of maintaining listeriosis as a significant concern in febrile patients with predisposing conditions. Early diagnosis and early treatment with appropriate antibiotics have positive outcomes.
Insights
A cluster of six Listeria monocytogenes bacteremia cases occurred in immunocompromised patients. Early diagnosis and antibiotic treatment led to positive outcomes for most patients, highlighting listeriosis as a significant concern.
Area of Science:
- Infectious Diseases
- Clinical Microbiology
Background:
- Listeria monocytogenes causes severe invasive infections like bacteremia and meningitis, particularly in immunocompromised individuals.
- Untreated infections have a high mortality rate due to insidious presentation.
Purpose of the Study:
- To report a cluster of six Listeria monocytogenes bacteremia cases at a tertiary care center.
- To emphasize the importance of early diagnosis and treatment for listeriosis in at-risk patients.
Main Methods:
- Blood cultures were used to confirm infections.
- The VITEK 2 system identified the organisms.
- Antibiotic sensitivity testing was performed.
Main Results:
- Six cases of Listeria monocytogenes bacteremia were identified over 10 months.
- Patients ranged from 27-72 years old, with four having immunosuppressive conditions.
- All isolates were sensitive to gentamicin and ampicillin.
- Five patients recovered with intravenous antibiotic therapy; one patient died from multiorgan failure.
Conclusions:
- Listeriosis remains a significant concern in febrile patients with predisposing conditions.
- Prompt diagnosis and appropriate antibiotic intervention are crucial for favorable patient outcomes.
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