Ananthraman A, Israel R H, Magnussen C R
Respiration. 1983;44(2):153-7. doi: 10.1159/000194542.
The most common forms of Listeria monocytogenes infection in adults are meningitis-encephalitis and sepsis. Infection of the pulmonary parenchyma and pleura have rarely been reported. A case of listeria meningitis presenting with pleural space infection in an immunosuppressed patient is presented and a review of 5 additional patients with listeria infection of the respiratory tract is included. All 6 patients described in this report had L. monocytogenes infections presenting with respiratory tract symptomatology, although 4 patients subsequently had positive blood or cerebrospinal fluid cultures. It is emphasized that a culture report of 'diphtheroids' from a thoracentesis specimen should not be automatically dismissed as contamination, particularly in an immune compromised patient.
成人中最常见的单核细胞增生李斯特菌感染形式是脑膜炎-脑炎和败血症。肺实质和胸膜感染鲜有报道。本文报告了1例免疫抑制患者发生的伴有胸膜腔感染的李斯特菌脑膜炎病例，并纳入了另外5例呼吸道李斯特菌感染患者的病例回顾。本报告中描述的所有6例患者均有表现为呼吸道症状的单核细胞增生李斯特菌感染，尽管其中4例患者随后血培养或脑脊液培养呈阳性。需要强调的是，对于胸腔穿刺标本培养报告为“类白喉杆菌”的情况，不应不假思索地将其视为污染，尤其是在免疫功能低下的患者中。
