Pleural Effusion Due to Listeria monocytogenes in a Woman With Cirrhosis of the Liver

Luján, Ricardo García; Garrido, Victoria Villena; Quero, Cristina

doi:10.1016/s1579-2129(07)60095-0

Cited by 4 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should be noted that our patient had chronic liver disease and was under treatment with an oral corticosteroid, two conditions that could have been predisposing factors for invasive listeriosis 2 3 Although there is no consensus regarding the mechanism by which L. monocytogenes enters the pleural cavity, hematogenous spread and subsequent seeding to the pleura was the most probable route of infection in the case presented here.…”

Section: To the Editormentioning

confidence: 80%

“…Listeria monocytogenes is a gram-positive rod that is commonly found in soil, water, and the fecal flora of many mammals 1 . In at-risk groups, including neonates, pregnant women, and elderly individuals, and immunocompromise individuals, such as those with underlying malignancies, those receiving immunosuppressive therapy, and those infected with HIV, the most common presentations of L. monocytogenes infection are sepsis and meningitis 2 3 Pleural infection by this pathogen is extremely rare 1 …”

Section: To the Editormentioning

confidence: 99%

“…, 3 Pleural infection by this pathogen is extremely rare 1 7 Only approximately 20 such cases have been reported, most of those were in immunocompromised patients with hematologic malignancies, 3 , 6 , 8 although at least three cases have been reported in patients with liver cirrhosis 2 3 …”

Section: To the Editormentioning

confidence: 99%

“…, 2 , 6 , 7 Because of the small number of cases, the prognosis for patients with pleural effusion caused by L. monocytogenes infection is unknown, although rapid diagnosis, prompt institution of appropriate antimicrobial therapy, and effective drainage of pleural fluid are likely to improve chances of survival 1 2 , 6 …”

Section: To the Editormentioning

confidence: 99%

See 3 more Smart Citations

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment

Silva¹,

Ferreira²

2019

J. bras. pneumol.

View full text Add to dashboard Cite

Section: To the Editormentioning

confidence: 80%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

Section: To the Editormentioning

confidence: 99%

See 2 more Smart Citations

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment

Silva¹,

Ferreira²

2019

J. bras. pneumol.

View full text Add to dashboard Cite

“…Nei pazienti con cirrosi epatica Listeria monocytogenes e stata segnalata in letteratura come causa di diversi quadri di malattia: peritonite batterica spontanea: sono descritti in totale circa 50 casi con prevalenza in Spagna e Brasile. La serie piu `numerosa consta di 12 casi [5,6]; pleurite-polmonite: sono riportati almeno 5 casi [7,8]; setticemia e meningoencefalite: sono segnalati diversi casi, con una prevalenza significativamente superiore rispetto a soggetti non cirrotici. Se si considera, poi, l'insieme di tutte le meningoencefaliti, nei pazienti con cirrosi epatica vi e `una piu `alta e significativa prevalenza di Listeria monocytogenes ed E. coli come agenti causali rispetto ai non cirrotici e questo dato dovrebbe guidare la terapia antibiotica empirica [9,10].…”

Section: Discussioneunclassified

Sepsis and meningoencephalitis due to Listeria monocytogenes in patients with liver cirrhosis: a case of nonhepatic encephalopathy?

Lari¹,

Bortolotti²,

Vacchetti³

et al. 2012

Ital J Med

View full text Add to dashboard Cite

Introduction The appearance of neurological disorders in a patient with liver cirrhosis initially suggests hepatic encephalopathy, but other causes should be considered, including bacterial infections.Materials and methods An 80-year-old woman suffering from HCV-related cirrhosis was admitted for fever, confusion, and stupor. No improvement was seen after treatment with cephalosporins, lactulose, and fluids.Results Listeria monocytogenes was isolated from blood cultures and subsequently from a cerebrospinal fluid specimen as well. On the basis of the antibiogram, the antibiotic therapy was modified to include ampicillin, but shock and multiorgan failure developed and the patient died one week later.Discussion Bacterial infections are more common and more aggressive in patients with liver cirrhosis, probably because of the immune dysfunction associated with this disorder. The presence of neurological disorders in a patient with liver cirrhosis may be a sign of hepatic encephalopathy, but it is important to recall that there are other potential causes as well, including bacterial infections. In this case, it is possible that the patient's symptoms were the result of the CNS infection with L. monocytogenes, which was particularly aggressive as a result of her cirrhosis.

show abstract

Setticemia e meningoencefalite da Listeria monocytogenes nel paziente con cirrosi epatica: un caso di encefalopatia non epatica?

Lari¹,

Bortolotti²,

Vacchetti³

et al. 2012

Italian Journal of Medicine

View full text Add to dashboard Cite

Bacterial infections represent a frequent complication of liver cirrhosis carrying a significantly greater risk of morbidity and mortality as compared to that observed in non-cirrhotic patients. Such unfavourable prognosis is related to the systemic complications (liver and renal failure, shock, co-agulopathy, multiple organ failure) induced by a series of pro-inflammatory and immunological systems which are activated by bacteria and their pathogenetic products. The epidemiology of bacterial infections in cirrhosis has changed in the last years with a marked increase of Gram+ infections and the emergence of multi-resistant bacteria. The severity of liver disease represents the major clinical factor predisposing to bacterial infections, which are asymptomatic or paucisymptomatic at presentation in almost half of the cases. Aim of this review is to summarise the clinical and therapeutic aspects of bacterial infections in cirrhotic patients. The most common sites of infection are the urinary tract, ascites, blood, lungs and soft tissues. Beside antibiotics, it has been proposed the administration of human albumin to prevent the development of renal failure in patients with spontaneous bacterial peritonitis and, more recently, the use of hydrocortisone to treat cirrhotic patients with septic shock.

show abstract

Pleural Effusion Due to Listeria monocytogenes in a Woman With Cirrhosis of the Liver

Cited by 4 publications

References 5 publications

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment

Pleural effusion caused by infection with Listeria monocytogenes: etiopathogenesis and treatment

Sepsis and meningoencephalitis due to Listeria monocytogenes in patients with liver cirrhosis: a case of nonhepatic encephalopathy?

Setticemia e meningoencefalite da Listeria monocytogenes nel paziente con cirrosi epatica: un caso di encefalopatia non epatica?

Contact Info

Product

Resources

About