Acute Hepatitis by Listeria Monocytogenes in an HIV Patient with Chronic HBV Hepatitis

Liver and Bile Duct Infections

“…238,291 Multiple liver abscesses are more often associated with bacteremia, extrahepatic sites of involvement, and meningitis and carry a worse prognosis. 238,291 Diffuse hepatitis is associated with underlying conditions, such as viral hepatitis, pregnancy, or alcohol abuse, 291,294 although it may also occur in healthy individuals. 295 Bacteremia is highly likely in cases with diffuse hepatitis.…”

“…The histology is that of an active hepatitis with extensive necroinflammatory activity, or sometimes a granulomatous hepatitis. 291,294 Cholestasis and sinusoidal infiltration by mononuclear inflammatory cells may also be seen. 296 Diffuse hepatitis due to Listeria often mimics acute viral hepatitis clinically and pathologically (fever, jaundice, substantially elevated transaminases, active hepatitis on biopsy) and may lead to misdiagnosis and delayed treatment.…”

“…296 Diffuse hepatitis due to Listeria often mimics acute viral hepatitis clinically and pathologically (fever, jaundice, substantially elevated transaminases, active hepatitis on biopsy) and may lead to misdiagnosis and delayed treatment. [293][294][295][296][297] The diagnosis is made by culture of the organism from blood or abscess material.…”

Liver and Bile Duct Infections

“…157,197 Diffuse hepatitis is associated with underlying conditions such as viral hepatitis, pregnancy, or alcohol abuse. 197,198 Bacteremia is highly likely in cases with diffuse hepatitis. The histology is that of chronic active hepatitis with extensive necroinflammatory activity and occasionally granulomas.…”

“…The histology is that of chronic active hepatitis with extensive necroinflammatory activity and occasionally granulomas. 198 The diagnosis is made by culture of the organism from blood or abscess material.…”