title: Recurrent Listeria monocytogenes bacteraemia in a liver transplant patient.
abstract: We report a case of a recurrent Listeria monocytogenes bacteraemia in a 46 year-old liver transplant patient. Serotyping revealed that the two episodes of bacteraemia were caused by different strains. The possibility of a recrudescence of a persisting infection was rejected. We concluded that the recurrent bacteraemia in this predisposed patient was due to re-infection, and that antibiotic treatment (amoxicillin plus an aminoglycoside) resulted in a complete eradication of the infective microorganism. Therefore long-term suppressive antibiotic treatment was not indicated. The source of these L. monocytogenes infections was not found.
authors.affiliation: Department of Infectious Diseases, University Hospital, Leiden, The Netherlands.
authors.forename: W E
authors.initials: WE
authors.lastname: Peetermans
authors.forename: H P
authors.initials: HP
authors.lastname: Endtz
authors.forename: A R
authors.initials: AR
authors.lastname: Janssens
authors.forename: P J
authors.initials: PJ
authors.lastname: van den Broek
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008089:Listeria monocytogenes / Q000145:classification / Q000302:isolation & purification; D008088:Listeriosis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D016031:Liver Transplantation / Q000009:adverse effects*; D008875:Middle Aged; D012008:Recurrence; D018805:Sepsis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D012703:Serotyping
chemical_list: D000900:Anti-Bacterial Agents