Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity

Abstract

Listeria is an uncommon cause of spontaneous bacterial peritonitis (SBP) in the United States. Listeria should be suspected as a cause of SBP when the patient has diphtheria-like organisms on ascitic/blood cultures, iron overload/hemochromatosis, exposure to farm animals, or poor response to empiric therapy within 48–72 h. Diagnosis of SBP is made if the ascitic fluid shows polymorphonuclear cell count >250 cells/mm3 without an intra-abdominal source of infection. Ampicillin with or without an aminoglycoside is the treatment of choice. Trimethoprim-sulfamethoxazole is recommended for prophylaxis in patients with a previous episode of Listeria SBP.

Listerial Spontaneous Bacterial Peritonitis

“…In fact, L. monocytogenes has consistently been reported to be intrinsically resistant to third-generation cephalosporins due to poor cephalosporin targetbinding [28]. As such, ampicillin with an aminoglycoside, if the toxicity profile allows, has been successfully used to treat SBP caused by L. monocytogenes [29]. Though the associated symptoms of Listeria peritonitis are largely indistinguishable from any other causes of SBP, delayed treatment from initial incorrect empiric antibiotic therapy has been associated with worse outcomes, with an overall mortality of 30% [23].…”

Spontan bakteriyel peritonit: Etken ne? Olgu sunumu

“…Siroz; spesifik siroz-ilişkili immün disfonksiyona yol açar (7). Siroz-ilişkili immün disfonksiyon, sirozda meydana gelen hem immün yetmezlik hem de sistemik inflamasyonu ifade eder (8).…”

Primary spontaneous listerial peritonitis

“…Although uncommon, Listeria monocytogenes has been implicated as a causative agent of SBP in case reports of patients with advanced end-stage liver disease [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] . In addition, increased age, pregnancy, chronic kidney disease, increased intracellular iron stores, reduced cell-mediated immune system, complement deficiency, and transplantations in patients increase the risk of developing listerial SBP [26] , [27] , [22] .…”