title: Successful management of Listeria monocytogenes pericarditis: case report and review of the literature.
abstract: Listeria monocytogenes, although an uncommon cause of illness in the general population, is feared principally because of the morbidity and mortality associated with CNS infections. Cardiovascular involvement with L. monocytogenes is very rare, and has been limited to endocarditis. We describe a case of Listeria pericarditis, which occurred in a 60-year-old man with Child-Pugh B cirrhosis who presented to the emergency department with asthenia, anorexia, and respiratory distress. The echocardiogram showed severe pericardial effusion and after pericardiocentesis, L. monocytogenes was isolated in the culture of pericardial fluid. After surgical pericardiectomy with draining of the pericardial effusion and antibiotic treatment with ampicillin, the patient experienced a slow, but full recovery. Documentation of L. monocytogenes pericarditis is an extremely rare entity with very scarce reports in medical literature, and is usually associated with a very poor prognosis. A case report is presented together with a review of the literature.
authors: Department of Cardiology, Santo António General Hospital - Oporto Hospital Centre, Porto, Portugal. vascoalvesdias@hotmail.com
authors: Vasco
authors: V
authors: Dias
authors: Sofia
authors: S
authors: Cabral
authors: Diana
authors: D
authors: Anjo
authors: Miguel
authors: M
authors: Vieira
authors: Nuno
authors: N
authors: Antunes
authors: Graziela
authors: G
authors: Carvalheiras
authors: Catarina
authors: C
authors: Gomes
authors: Ana
authors: A
authors: Meireles
authors: Teresa
authors: T
authors: Mendonça
authors: Severo
authors: S
authors: Torres
mesh_terms: D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D015897:Comorbidity; D006801:Humans; D008088:Listeriosis / Q000453:epidemiology / Q000628:therapy*; D008103:Liver Cirrhosis / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000601:surgery; D010492:Pericardiectomy; D010493:Pericarditis / Q000453:epidemiology / Q000382:microbiology*
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin