Pleural Listeriosis: A Rare Entity

Listeria monocytogenes is a gram positive bacillus responsible for listeriosis. This infection manifests mainly as bacteremia and / or central nervous system (CNS) infection. Involvement of other sites is rare. Pleural listeriosis is an uncommon presentation of L. monocytogenes infection and there i...

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Main Authors: Maria Inês Silva, Isabel Ferreira, Teresa Brandão, Paulo Telles de Freitas
Format: Article
Language:English
Published: SMC MEDIA SRL 2020-04-01
Series:European Journal of Case Reports in Internal Medicine
Subjects:
Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/1491
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author Maria Inês Silva
Isabel Ferreira
Teresa Brandão
Paulo Telles de Freitas
author_facet Maria Inês Silva
Isabel Ferreira
Teresa Brandão
Paulo Telles de Freitas
author_sort Maria Inês Silva
collection DOAJ
description Listeria monocytogenes is a gram positive bacillus responsible for listeriosis. This infection manifests mainly as bacteremia and / or central nervous system (CNS) infection. Involvement of other sites is rare. Pleural listeriosis is an uncommon presentation of L. monocytogenes infection and there is little data to guide the management of these patients. First-line antibiotics used empirically to treat bacterial respiratory infections are ineffective in treating these L. monocytogenes infections, which contributes to the progression of the infection and a worse prognosis. We present a case report of a patient admitted to an intensive care unit with septic shock secondary to systemic listeriosis with L. monocytogenes isolation in pleural fluid culture and blood cultures. The evolution of the hospitalization and the clinical outcome are reported.
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spelling doaj.art-edf550d4d7384189b379710844cc19502022-12-21T18:54:16ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942020-04-0110.12890/2020_0014911147Pleural Listeriosis: A Rare EntityMaria Inês Silva0Isabel Ferreira1Teresa Brandão2Paulo Telles de Freitas3Internal Medicine Department, Hospital Prof. Dr. Fernando Fonseca EPE, Amadora, PortugalIntensive Care Departement, Hospital Prof. Dr. Fernando Fonseca EPE, Amadora, PortugalIntensive Care Departement, Hospital Prof. Dr. Fernando Fonseca EPE, Amadora, PortugalIntensive Care Departement, Hospital Prof. Dr. Fernando Fonseca EPE, Amadora, PortugalListeria monocytogenes is a gram positive bacillus responsible for listeriosis. This infection manifests mainly as bacteremia and / or central nervous system (CNS) infection. Involvement of other sites is rare. Pleural listeriosis is an uncommon presentation of L. monocytogenes infection and there is little data to guide the management of these patients. First-line antibiotics used empirically to treat bacterial respiratory infections are ineffective in treating these L. monocytogenes infections, which contributes to the progression of the infection and a worse prognosis. We present a case report of a patient admitted to an intensive care unit with septic shock secondary to systemic listeriosis with L. monocytogenes isolation in pleural fluid culture and blood cultures. The evolution of the hospitalization and the clinical outcome are reported.https://www.ejcrim.com/index.php/EJCRIM/article/view/1491listeria monocytogenespleural listeriosisimmunosuppression
spellingShingle Maria Inês Silva
Isabel Ferreira
Teresa Brandão
Paulo Telles de Freitas
Pleural Listeriosis: A Rare Entity
European Journal of Case Reports in Internal Medicine
listeria monocytogenes
pleural listeriosis
immunosuppression
title Pleural Listeriosis: A Rare Entity
title_full Pleural Listeriosis: A Rare Entity
title_fullStr Pleural Listeriosis: A Rare Entity
title_full_unstemmed Pleural Listeriosis: A Rare Entity
title_short Pleural Listeriosis: A Rare Entity
title_sort pleural listeriosis a rare entity
topic listeria monocytogenes
pleural listeriosis
immunosuppression
url https://www.ejcrim.com/index.php/EJCRIM/article/view/1491
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AT isabelferreira pleurallisteriosisarareentity
AT teresabrandao pleurallisteriosisarareentity
AT paulotellesdefreitas pleurallisteriosisarareentity