Listeria monocytogenes Arthritis in a Renal Transplant Recipient

Abadie, Sandra M.; Dalovisio, Joseph R.; Pankey, George A.; Cortez, Laurence M.

doi:10.1093/infdis/156.2.413

Cited by 19 publications

(9 citation statements)

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“…Listerial septic arthritis has been described both in normal and prosthetic joints (2,(96)(97)(98)(99). Normal joints infected with Listeria monocytogenes have been successfully treated with ampicillin plus gentamicin for two weeks when combined with drainage plus irrigation (2).…”

Section: Antimicrobial Therapy Of Rarer Infective Manifestationsmentioning

confidence: 99%

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Jones¹,

MacGowan²

1995

Eur. J. Clin. Microbiol. Infect. Dis.

100

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Listeriosis is an uncommon infection, but when it occurs it carries a high mortality rate. Early diagnosis is essential and thereafter appropriate antimicrobial chemotherapy. Ampicillin or penicillin plus gentamicin remains the treatment of choice for most manifestations of listeriosis, and adequate doses must be given, i.e. greater than 6g/day of ampicillin or penicillin. Co-trimoxazole appears to be an excellent alternative agent with good penetration into the cerebrospinal fluid. Vancomycin is an appropriate agent for the treatment of primary bacteraemia but does not cross the blood-brain barrier sufficiently well to be useful in meningitis, while erythromycin may be used to treat listeriosis in cases of pregnancy. Treatment of bacteraemia requires one to two weeks' therapy, while meningitis cases may need to be treated for longer; for example, it has been found that most patients with acute meningitis in the UK were treated for 20 days. Infective endocarditis needs treatment for six to eight weeks. Doses should be varied with patients' altered organ function and antimicrobial serum monitoring performed when appropriate.

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Section: Antimicrobial Therapy Of Rarer Infective Manifestationsmentioning

confidence: 99%

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Jones¹,

MacGowan²

1995

Eur. J. Clin. Microbiol. Infect. Dis.

100

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“…A review of the literature by Louthrenoo and Schuhmacher [14], published in 1990, revealed only four cases of prosthetic joint infection by L. monocytogenes in three hips and one knee. By 1991 ten cases had been reported, including the two patients presented in this paper, with six in the hip and four in the knee [ 1,5,9,10,11,15,25,27]. It is possible that the actual incidence of listeria prosthetic joint infections has not increased but that further awareness of this possibility has led to a more thorough laboratory examination of gram positive bacilli.…”

Section: Discussionmentioning

confidence: 89%

“…Infection of prosthetic joints with L. monocytogenes was first reported in 1987 [1] and this problem is being increasingly recognised. A review of the literature by Louthrenoo and Schuhmacher [14], published in 1990, revealed only four cases of prosthetic joint infection by L. monocytogenes in three hips and one knee.…”

Section: Discussionmentioning

confidence: 99%

“…While "early infections" occurring during the first post-operative month are considered to be nosocomial, "late infections" are thought to represent a mixture of nosocomial and community-acquired infections. Prosthetic joint infections may be caused by a wide spectrum of bacteria, but Listeria monocytogenes prosthetic infections were not reported prior to 1987 [1]. Recently they have been increasingly recognised as "late infections" and probably represent haematogenous seeding.…”

Section: Introductionmentioning

confidence: 99%

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Listeria monocytogenes infection in prosthetic joints

Allerberger

Kasten

Cockerill

et al. 1992

International Orthopaedics

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Listeria monocytogenes is increasingly recognised as a cause of prosthetic joint infection. These infections tend to be more insidious and indolent in contrast to similar infections with Staphylococcus aureus. They can occur in patients who are immunocompromised due to malignancy or other illness or in nonimmunocompromised elderly patients. Listeria infections should not be treated with cephalosporins and prolonged antimicrobial treatment is generally advised for prosthetic joint infections. We noted a high affinity of L. monocytogenes for foreign bodies. Three of twenty-seven cases 11%) of listeriosis under the period of investigation were associated with foreign bodies (hip prosthesis, knee prosthesis and arterial graft).

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“…Since their review, only 3 new cases of infectious arthritis in renal transplant patients have been reported [6][7][8], Among all collected 26 cases, bacte rial organisms are the most common, causing 54% of the joint infections. Mycobacterial (7 cases, 27% of the total), fungal (3 cases, 11.5%) and cytomegalovirus (2 cases, 7.5%) infections compose the remaining cases.…”

Section: Commentmentioning

confidence: 99%

Gram-Negative Arthritis with a Simultaneous Urinary Tract Infection in a Renal Transplant Recipient

Chong

Holley

1990

Am J Nephrol

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Infections are common causes of morbidity in the renal transplant population, but infectious arthritis is rarely encountered. Gram-negative joint infections in the nontransplant population are often associated with simultaneous urinary tract infections. We report a case of Escherichia coli monoarthritis and a concomitant urinary tract infection in a renal transplant recipient and consider the possible predisposing factors for the infection.

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Listeria monocytogenes Arthritis in a Renal Transplant Recipient

Cited by 19 publications

References 0 publications

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Antimicrobial chemotherapy of human infection due toListeria monocytogenes

Listeria monocytogenes infection in prosthetic joints

Gram-Negative Arthritis with a Simultaneous Urinary Tract Infection in a Renal Transplant Recipient

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