Vera-Kellet Cristián, Del Puerto Constanza, Ruiz Felipe, González Sergio, Manríquez Jorge
Rev Chilena Infectol. 2014 Dec;31(6):746-9. doi: 10.4067/S0716-10182014000600017.
Septic vasculitis is a medium and small-vessel vasculitis caused by direct action of pathogens, associated with bacteremia. It is an uncommon condition; clinical manifestations include purpura, ulcers and vesicles-pustules. Most cases of septic vasculitis are related to meningococcemia. There are no cases reported in medical literature associated to Listeria spp. We report a case of a 71 year-old man who presented sepsis by Listeria monocytogenes, and then evolved with purpuric skin lesions. Skin biopsy revealed a septic vasculitis.
败血症性血管炎是由病原体直接作用引起的中小血管炎，与菌血症相关。这是一种罕见的病症；临床表现包括紫癜、溃疡和水疱脓疱。大多数败血症性血管炎病例与脑膜炎球菌血症有关。医学文献中尚无与李斯特菌属相关的病例报道。我们报告一例71岁男性患者，其因单核细胞增生李斯特菌出现败血症，随后出现紫癜性皮肤病变。皮肤活检显示为败血症性血管炎。
