Peetermans W E, Endtz H P, Janssens A R, van den Broek P J
Department of Infectious Diseases, University Hospital, Leiden, The Netherlands.
Infection. 1990 Mar-Apr;18(2):107-8. doi: 10.1007/BF01641427.
We report a case of a recurrent Listeria monocytogenes bacteraemia in a 46 year-old liver transplant patient. Serotyping revealed that the two episodes of bacteraemia were caused by different strains. The possibility of a recrudescence of a persisting infection was rejected. We concluded that the recurrent bacteraemia in this predisposed patient was due to re-infection, and that antibiotic treatment (amoxicillin plus an aminoglycoside) resulted in a complete eradication of the infective microorganism. Therefore long-term suppressive antibiotic treatment was not indicated. The source of these L. monocytogenes infections was not found.
我们报告了一例46岁肝移植患者复发性单核细胞增生李斯特菌菌血症的病例。血清分型显示，两次菌血症发作由不同菌株引起。持续性感染复发的可能性被排除。我们得出结论，这位易感患者的复发性菌血症是由于再次感染所致，抗生素治疗（阿莫西林加一种氨基糖苷类药物）使感染微生物被完全根除。因此，不建议进行长期抑制性抗生素治疗。未发现这些单核细胞增生李斯特菌感染的来源。
