“…Healthy humans usually clear L. monocytogenes infection with little or no clinical symptoms. However, in patients with predisposing conditions, such as diabetes mellitus, liver failure, HIV infection, immune suppression, splenectomy, older age (> 75 years), and pregnancy, or undergoing anti-TNF-α therapy, listeria can cause a potentially life-threatening disease with clinical symptoms ranging from local inflammatory responses to meningoencephalitis, sepsis with suppurative granulomas in multiple organs, or devastating maternal/fetal infection in pregnant women (13,14). In these patient populations, the incidence is as high as 210 cases per 100,000 (as compared with 0.7 per 100,000 cases in healthy individuals), and mortality can reach 30% (13).…”