Arias Miranda I M, Nuño Mateo F J, Noval Menéndez J, Fonseca Aizpuru E M, Menéndez Calderón M J
Servicio de Medicina Interna, Hospital de Cabueñes, Gijón, Asturias.
An Med Interna. 2004 Feb;21(2):75-8. doi: 10.4321/s0212-71992004000200006.
Listeria monocytogenes is still a very rare opportunist infection in immunosuppressive patients. The clinical-epidemiological and therapeutic characteristics in 10 patients with infection produced by LM are reported--four of them had primary bacteriemia, three patients had a meningeal involvement, there were two patients with spontaneous bacterial peritonitis and one suffered from abdominal access. All of the patients had underlying disorders favouring the infection. Sepsis and meningeal syndrome were the most common presenting forms. Ampicillin was the most used antibiotic. The overall mortality was 40%.
单核细胞增生李斯特菌在免疫抑制患者中仍是一种非常罕见的机会性感染。本文报告了10例由单核细胞增生李斯特菌感染患者的临床流行病学和治疗特征——其中4例患有原发性菌血症,3例有脑膜受累,2例患有自发性细菌性腹膜炎,1例患有腹部感染。所有患者均有易引发感染的基础疾病。败血症和脑膜综合征是最常见的表现形式。氨苄青霉素是最常用的抗生素。总死亡率为40%。