PLEURAL-PULMONARY ASPECTS OF LISTERIA-MONOCYTOGENES INFECTION

PLEURAL-PULMONARY ASPECTS OF LISTERIA-MONOCYTOGENES INFECTION
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DOI:
10.1159/000194542
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发表时间:
1983-01-01
期刊:
影响因子:
3.7
通讯作者:
MAGNUSSEN, CR
MAGNUSSEN, CR
中科院分区:
医学3区
文献类型:
--
作者:
ANANTHRAMAN, A;ISRAEL, RH;MAGNUSSEN, CR

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成人中最常见的单核细胞增生乳杆菌感染形式是脑膜炎-脑炎和败血症。肺实质和胸膜的感染很少有报道。一例李斯特菌脑膜炎表现为胸膜间隙感染的免疫抑制患者提出,并审查了另外5例李斯特菌感染的呼吸道包括。本报告中描述的所有6例患者均有单核细胞增生乳杆菌感染,表现为呼吸道症状,尽管4例患者随后血液或脑脊液培养呈阳性。需要强调的是,胸穿刺标本中白喉样的培养报告不应被自动排除为污染,特别是在免疫受损的患者中。
The most common forms of L. monocytogenes infection in adults are meningitis-encephalitis and sepsis. Infection of the pulmonary parenchyma and pleura have rarely been reported. A case of listeria meningitis presenting with pleural space infection in an immunosuppressed patient is presented and a review of 5 additional patients with listeria infection of the respiratory tract is included. All 6 patients described in this report had L. monocytogenes infections presenting with respiratory tract symptomatology, although 4 patients subsequently had positive blood or CSF cultures. It is emphasized that a culture report of diphtheroids from a thoracentesis specimen should not be automatically dismissed as contamination, particularly in an immune compromised patient.