title: [An elderly case with Listeria monocytogenes sepsis and pulmonary non-tuberculous mycobacterial infection].
abstract: A 88-year-old woman, who had lived in a nursing home, was admitted to our hospital because of the suspicion of pulmonary tuberculosis. She had a cough, fever and diarrhea on admission. She suffered from sepsis because Listeria monocytogenes was isolated from only the blood culture twice. We immediately administered imipenem/cilastatin to her on admission. She simultaneously had pulmonary non-tuberculous mycobacterial infection because the chest roentgenogram showed a cavity in the right upper lung field and Mycobacterium intracellulare was isolated from the sputum many times. She was treated with isoniazid, rifampicin and clarithromycin for the pulmonary non-tuberculous mycobacterial infection. Her condition improved soon after the administration of IPM/CS but a low grade fever and cough persisted. L. monocytogenes and M. intracellulare are important pathogens in the elderly because cell-mediated immunity mainly works as host defenses against both organisms.
authors.affiliation: Second Department of Internal Medicine, Nara Medical University.
authors.forename: Shigeto
authors.initials: S
authors.lastname: Hontsu
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Konishi
authors.forename: Hideaki
authors.initials: H
authors.lastname: Takenaka
authors.forename: Kei
authors.initials: K
authors.lastname: Kasahara
authors.forename: Ken
authors.initials: K
authors.lastname: Takahashi
authors.forename: Eiichiro
authors.initials: E
authors.lastname: Yoshimoto
authors.forename: Koichi
authors.initials: K
authors.lastname: Murakawa
authors.forename: Koichi
authors.initials: K
authors.lastname: Maeda
authors.forename: Keiichi
authors.initials: K
authors.lastname: Mikasa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kimura
authors.forename: Reiko
authors.initials: R
authors.lastname: Sano
authors.forename: Takayuki
authors.initials: T
authors.lastname: Masutani
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Narita
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008088:Listeriosis / Q000150:complications*; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications*; D018805:Sepsis / Q000150:complications*