[关于两例没有主要神经性损害的全身性李斯特菌病]
Andrés Taborro1, Pablo Iwanow1, Lucía Antunes1
1Servicio de Infectología, Policlínico PAMI I, Rosario, Santa Fe, Argentina.
Medicina
|August 22, 2024
概括
李斯特菌可在健康个体中引起侵袭性李斯特菌病,很少呈现为局部感染,如脊髓瘤炎或细菌血症. 这突出了细菌.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 李斯特菌 (Listeria monocytogenes) 是一种无处不在的,引起李斯特菌病的格拉姆阳性细菌,主要影响弱势群体,但也在健康人群中发生.
- 侵入性李斯特菌病通常表现为细菌病,神经李斯特菌病或母婴感染,局部形式较少见.
- 传染主要通过受污染的食物 (例如未经巴氏消毒的乳制品) 发生,也可能由动物接触或垂直传播引起.
研究的目的:
- 为了描述Listeria monocytogenes感染的罕见系统表现.
- 为了说明李斯特菌病可以表现为非主导的神经形式.
- 报告两个不同的李斯特菌病病例.
主要方法:
- 在健康宿主中发生脊髓瘤炎的病例报告.
- 一个发烧性免疫缺陷患者的李斯特菌血病病例报告.
- 对Listeria monocytogenes感染的临床表现的审查.
主要成果:
- 第一个病例涉及脊髓炎,一种局部脊髓感染,在一个免疫能力强的个体.
- 第二个病例呈现为一个免疫力低下的患者发烧的李斯特菌血症.
- 没有突出的神经症状的全身李斯特菌病是一种罕见的临床情景.
结论:
- 李斯特菌单细胞原体感染可以表现为比典型的侵入性形式之外的各种临床表现.
- 局部化和全身性李斯特菌病即使在健康个体中也可能发生.
- 对于及时诊断和治疗而言,对各种李斯特菌病表现的认识至关重要.
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