Hirschl A, Rotter M, Koller W, Stanek G
Wien Klin Wochenschr. 1980 Jan 18;92(2):44-7.
Twelve years after the last bacteriologically verified case of human listeriosis was reported in Austria, 3 cases of neonatal listeriosis have been observed in Vienna within the space of a few months. In 2 patients the disease was definitely septicaemic, whilst the third suffered from predominantly pneumonic manifestations. As the clinical picture is not uniform, neonatal listeriosis may be difficult to recognize. Therefore, the consulted physician ought always to consider this disease, when he is confronted with obscure infections in newborn infants. The most important and, indeed, only diagnostic investigation to prove suspected listeriosis is bacteriological culture. Serological findings do not offer a conclusive diagnosis in cases of this disease.
在奥地利报告最后一例经细菌学证实的人类李斯特菌病病例12年后，维也纳在短短几个月内观察到3例新生儿李斯特菌病病例。其中2例患者的疾病确诊为败血症，而第3例主要表现为肺部症状。由于临床表现不统一，新生儿李斯特菌病可能难以识别。因此，会诊医生在面对新生儿不明原因感染时，应始终考虑到这种疾病。证明疑似李斯特菌病的最重要且实际上是唯一的诊断检查是细菌培养。血清学检查结果在这种疾病的病例中不能提供确诊依据。
