Recurrent Listeria monocytogenes bacteraemia in a liver transplant patient.
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.
Peetermans
W E
WE
Department of Infectious Diseases, University Hospital, Leiden, The Netherlands.
Endtz
H P
HP
Janssens
A R
AR
van den Broek
P J
PJ
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
D000900:Anti-Bacterial Agents