Listerial Mycocarditis in Cardiac Transplantation

Stamm, Alan M.; Smith, Shirley H.; Kirklin, James K.; McGiffin, David C.

doi:10.1093/clinids/12.5.820

Cited by 38 publications

(15 citation statements)

References 9 publications

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“…Both cutaneous and conjunctival infections can be caused by direct inoculation of the organism [46,61]. Listeria bacteremia may lead to hepatic abscess [62,63], hepatitis [64], splenic abscess [46], cholecystitis [65], peritonitis [66], joint infection [36,67], osteomyelitis [68], myocarditis [69], and endophthalmitis [46,70].…”

Section: Organ System Infectionsmentioning

confidence: 99%

Update on listeria monocytogenes infection

Crum

2002

Curr Gastroenterol Rep

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Listeria monocytogenes is a gram-positive bacillus that causes meningitis, encephalitis, bacteremia, and febrile gastroenteritis. Most disease occurs in immunosuppressed individuals. Recent seroepidemiologic studies show that the infection is foodborne. Due to the increasing number of immunosuppressed individuals at risk for listeriosis, as well as the persistence of substantial foodborne outbreaks, L. monocytogenes has gained worldwide attention as an important pathogen. Heightened surveillance and quality control by the food industry have been instituted, leading to a reduction in the number of cases and deaths from this infection in the past decade. However, due to the ubiquity of the organism in the environment, outbreaks and sporadic disease continue to occur. The standard therapy for listeriosis is a combination of ampicillin and gentamicin or, for patients who are intolerant of b-lactam agents, trimethoprim-sulfamethazole. Despite the availability of therapy, the mortality rate remains high in those with T-cell immunodeficiencies.

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Section: Organ System Infectionsmentioning

confidence: 99%

Update on listeria monocytogenes infection

Crum

2002

Curr Gastroenterol Rep

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“…There have been rare reports of focal infections from which L. monocytogenes isolates have been recovered; cases include direct inoculation of the organism, resulting in conjunctivitis [8], skin infection [84], and lymphadenitis [8]. Listerial bacteremia can led to the development of hepatitis and hepatic abscess [85,86], cholecystitis [87], peritonitis [88,89], splenic abscess [8], pleuropulmonary infection [90][91][92], joint infection [93], osteomyelitis [94], pericarditis [95], myocarditis [96], arteritis [97], and endophthalmitis [8]. There is nothing clinically unique about these localized infections: many-but not all have occurred in patients known to be at risk for listeriosis.…”

Section: Clinical Syndromesmentioning

confidence: 99%

Listeriosis

Lorber

1997

Clinical Infectious Diseases

442

250

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“…Infectious pericarditis and myocarditis due to L. monoNerve conduction studies revealed absent (left median, right ulnar, and cytogenes have been reported as serious complications [8, 9]. In right peroneal nerves) or delayed (left tibial nerve) F-wave responses the patient we described, perimyocarditis resolved rapidly.…”

mentioning

confidence: 53%

Polyradiculitis, Perimyocarditis, and Nephrotic Syndrome: Unusual Manifestations of Infection Due to Listeria monocytogenes

Liebetrau

Danek

et al. 1999

CLIN INFECT DIS

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infectious polyradiculitis, which, to our knowledge, has not yet been While receiving intravenous antibiotic therapy (ampicillin, 2 g six reported in association with L. monocytogenes infection, best explains times daily, and gentamicin, 240 mg/day), the patient developed distal our findings. flaccid peripheral pareses within the first 4 days. Foot flexion andThe patient developed a nephrotic syndrome with hypoalbumiextension were not possible on the left and were impaired on the right. nemia, pleural effusions, and proteinuria, which resolved with Arm muscle weakness was moderate on the left and severe on the symptomatic treatment. Infection of the pleural cavity with L. moright. Deep tendon reflexes had diminished, and the ankle reflexes were nocytogenes [6,7] is unlikely because of regressive inflammatory absent. The patient complained of tingling in the hands and feet, and parameters at the time of onset. Therefore, parainfectious etiology vibratory sensation was diminished distally (3/8). Cranial and spinal of nephrotic syndrome was assumed, although, to our knowledge, MRIs were normal. Somatosensory evoked responses showed no pean association with L. monocytogenes infection has not yet been ripheral waves. Brainstem auditory evoked responses were normal.described. Infectious pericarditis and myocarditis due to L. monoNerve conduction studies revealed absent (left median, right ulnar, and cytogenes have been reported as serious complications [8, 9]. In right peroneal nerves) or delayed (left tibial nerve) F-wave responses the patient we described, perimyocarditis resolved rapidly. Thus, consistent with polyradiculitis. Motor nerve conduction velocities were a parainfectious etiology appears to be possible. No underlying normal or slightly reduced; distal motor latency was delayed in one autoimmune disease was found. Lymphoma or hypergammaglonerve. Compound muscle action potentials were slightly reduced in bulinemia due to myeloma or Waldenström's macroglobulinemia amplitude. Sensory nerve action potentials were diminished or missing.are unlikely causes, because organ complications remitted with Needle electromyography showed no denervation signs.antibiotic treatment. After 3 days, the patient developed respiratory impairment due toIn conclusion, in our immunocompetent patient with L. monocymuscle weakness (vital capacity, 1.4 L) and bilateral pleural effusions.togenes infection, the unusual manifestations of polyradiculitis, Blood tests revealed hypoalbuminemia (albumin level, 23 g/L) and nephrotic syndrome, and perimyocarditis took a benign course and nonselective proteinuria (protein excretion rate, 10 g/day), which sugshould be considered as possible complications in the management gested a nephrotic syndrome. The serum urea level was slightly eleof patients with L. monocytogenes infection. vated, whereas the creatinine level and creatinine clearance remained normal. Kidney biopsy showed mild focal and segmental glomerulo- 5. Bolton CF. Sepsis and the systemic inflammatory response syndrome: neu-

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Listerial Mycocarditis in Cardiac Transplantation

Cited by 38 publications

References 9 publications

Update on listeria monocytogenes infection

Update on listeria monocytogenes infection

Listeriosis

Polyradiculitis, Perimyocarditis, and Nephrotic Syndrome: Unusual Manifestations of Infection Due to Listeria monocytogenes

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