Listeria monocytogenesperitonitis: presentation, clinical features, treatment, and outcome

Unusual Listeria monocytogenes peritonitis in peritoneal dialysis patient with liver cirrhosis: a case report and review of literature

“…Liatsos even identified absence of abdominal pain as one of the predictors of unfavourable outcome. Others were age (over 56 years), isolation of bacteria in hemoculture, and inappropriate antimicrobial treatment [16]. Our patient had all of them.…”

“…Primary peritonitis symptoms, abdominal pain, cloudy peritoneal effluent, would probably alert patient to seek medical help earlier, and facilitate diagnostic and treatment. Liatsos with authors came to similar conclusion [16]. He analyzed 128 cases of Listeria peritonitis, of which 17 cases of CAPD associated peritonitis, and found that CAPD patients had better survival rate, because they tended to interpret early peritonitis symptoms, such as abdominal pain, as more alarming [16].…”

“…Liatsos with authors came to similar conclusion [16]. He analyzed 128 cases of Listeria peritonitis, of which 17 cases of CAPD associated peritonitis, and found that CAPD patients had better survival rate, because they tended to interpret early peritonitis symptoms, such as abdominal pain, as more alarming [16]. Liatsos even identified absence of abdominal pain as one of the predictors of unfavourable outcome.…”

“…The patients treated with Ampicillin had more favorable outcome without significant peritoneal damage [16]. By current recommendations, most of the empirical protocols for CAPD peritonitis treatment include Vancomycin for [7] 60 CLL Vancomycin, Amoxicillin and Gentamycin IV Cure Vancomycin failure Hart et al [8] 67 Cirrhosis Vancomycin, Genthamycin, Ampicillin IP Cure Vancomycin failure Lunde et al [9] 38 CGN Ampicillin and Tobramycin IP Cure Tse et al [10] 37 SLE Ampicillin and Amikacin IV Cure Ahmad et al [11] 28 SLE Cefazolin and Ceftazidim, Ampicillin IP Cure Stylianou et al [12] 68 Cardiac failure Vancomycin IP Deceased Benjelloum et al [13] 64 Cardiac failure Vancomycin and Cetazidim, Gentamycin IP Cure Vancomycin failure Bierhoff et al [14] 62 CGN Amoxicillin IP Cure Bierhoff et al [14] 71 Hypertension Amoxicillin IV Cure Moscovici et al [15] 70 Gram-positive and second antibiotic for Gram-negative coverage [17].…”

The complex microbiota of raw milk

“…Listeria monocytogenes , a common environmental isolate, causes the human disease listeriosis, which targets highly susceptible individuals, including pregnant, immunocompromised or elderly people, and has a high fatality rate. Healthy adults are typically not at risk although they may experience flu‐like or gastrointestinal symptoms (Liatsos et al ., ). There is evidence to suggest that raw milk purchased from retailers represents a greater risk of Listeria ‐associated illness than milk obtained directly from milk tanks on farms, most likely as a consequence of the growth of the pathogen over the extended storage period (Latorre et al ., ).…”