Listeria monocytogenes endocarditis in a patient on chronic hemodialysis, successfully treated with vancomycin-gentamicin.

A case of Listeria monocytogenes endocarditis occurring as a complication of a vascular access infection in a patient on chronic hemodialysis that was successfully treated with a combination of vancomycin and gentamicin is reported. The difficulties in the diagnosis and treatment of L. monocytogenes infections, especially endocarditis, in patients on chronic hemodialysis are discussed.