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Recurrent, ICD-associated L. monocytogenes bacteraemia with multiple septic pulmonary embolisms over a 2-year period.
- Source :
-
Infection [Infection] 2024 Aug; Vol. 52 (4), pp. 1615-1620. Date of Electronic Publication: 2024 Mar 06. - Publication Year :
- 2024
-
Abstract
- Background: Listeria monocytogenes is a bacterial pathogen known for causing listeriosis, a foodborne illness with a wide spectrum of clinical presentations ranging from mild gastroenteritis to severe invasive disease, particularly affecting immunocompromised individuals, pregnant women, newborns, and the elderly. Successful treatment of patients with recurring listeria episodes due to colonised foreign material is often challenging, typically requiring a combination of antimicrobial treatment and surgical removal.<br />Case Presentation: Here, we present a particularly complex case of chronic invasive listeriosis with a total of six relapses. After extensive investigations, the patient's ICD device was identified as the focus of infection.<br />Conclusion: The confirmation of relapses through cgMLST analysis highlights the persistence of Listeria monocytogenes and the potential for recurrence even after apparent resolution of symptoms in patients with foreign material. It emphasises the necessity for a comprehensive assessment to identify and mitigate the risk of relapses, thereby ensuring optimal management and outcomes.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
Recurrence
Defibrillators, Implantable adverse effects
Male
Female
Anti-Bacterial Agents therapeutic use
Aged
Listeriosis drug therapy
Listeriosis microbiology
Listeriosis diagnosis
Listeria monocytogenes isolation & purification
Bacteremia microbiology
Bacteremia drug therapy
Pulmonary Embolism microbiology
Pulmonary Embolism drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1439-0973
- Volume :
- 52
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Infection
- Publication Type :
- Academic Journal
- Accession number :
- 38446279
- Full Text :
- https://doi.org/10.1007/s15010-024-02209-w