Allerberger F, Langer B, Hirsch O, Dierich M P, Seeliger H P
Institute for Hygiene, University of Innsbruck, Austria.
Z Gastroenterol. 1989 Mar;27(3):145-7.
Listeriosis usually manifests at the extremes of age, during pregnancy or among immunocompromised individuals as an acute meningoencephalitis with or without associated septicemia. Localized infections are rare. We investigated the incidence of Listeria monocytogenes cholecystitis using the data of the Listeria reference laboratory of the University of Würzburg/FRG. Out of 467 culture proven L.m-infections in the years 1986 and 1987, two cases were localized infections of the gall bladder. Although studies of the microbiology of gallbladder infections have not demonstrated the recovery of Listeria monocytogenes as a pathogen in acute or chronic cases of cholecystitis, these two cases substantiate the existence of this rare form of listeriosis as an entity and support the theory of the importance of the gastrointestinal tract in the pathogenesis of Listeria infections.
李斯特菌病通常在年龄极端情况下、孕期或免疫功能低下个体中表现为急性脑膜脑炎，可伴有或不伴有败血症。局部感染罕见。我们利用德国维尔茨堡大学李斯特菌参考实验室的数据，调查了单核细胞增生李斯特菌胆囊炎的发病率。在1986年和1987年确诊的467例李斯特菌感染病例中，有2例为胆囊局部感染。尽管关于胆囊感染微生物学的研究尚未表明在急性或慢性胆囊炎病例中可分离出单核细胞增生李斯特菌作为病原体，但这两例病例证实了这种罕见的李斯特菌病形式作为一种实体的存在，并支持了胃肠道在李斯特菌感染发病机制中重要性的理论。
