Unusual Listeria monocytogenes peritonitis in peritoneal dialysis patient with liver cirrhosis: a case report and review of literature

CEN Case Reports
Miloš MitrovićN Dimković

Abstract

Spontaneous Listeria peritonitis is well described in liver failure, but is uncommon in peritoneal dialysis patients. Atypical cases where peritonitis symptoms develop after systemic manifestations are rare and challenging for diagnostic. A 57-year-old peritoneal dialysis patient with history of ethylic cirrhosis was admitted after epileptic seizure. On admission, patient was soporous without signs of peritonitis and meningitis. Patient's peritoneal effluent was clear, with normal leukocytes. Cranial CT scan showed no abnormalities. Laboratory exams revealed positive inflammatory syndrome. Despite antibiotic therapy, next day, symptoms aggravated with coma development. Peritoneal effluent became cloudy and its leukocyte count rose up. Effluent microscopy revealed Gram-positive bacilli. Patient was started with intraperitoneal Vancomycin and Amikacin. Patient's clinical condition deteriorated with lethal outcome. Post-mortem analysis of effluent and blood culture showed growth of L. monocytogenes. Apart from idiopathic etiology, goat-milk curd, that patient had started consuming 10 days before admission, could theoretically be considered as possible infection vehicle. L. monocytogenes peritonitis in peritoneal dialysis patients ...Continue Reading

References

Apr 1, 1992·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K SkogbergV Valtonen
Feb 1, 1991·International Journal of Food Microbiology·M H GreenwoodP Burden
Jan 7, 1991·The Medical Journal of Australia·K A HartP A Trew
Oct 22, 1988·Lancet·W al-WaliW Brumfitt
Dec 1, 1983·The Journal of Infectious Diseases·J P MyersA Rashid
Feb 1, 1994·The Journal of Antimicrobial Chemotherapy·C BanerjiJ R Morgan
Jun 20, 2008·International Urology and Nephrology·Mufazzal AhmadJoanne M Bargman
Dec 17, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F Allerberger, M Wagner
Jul 16, 2010·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Philip Kam-Tao LiUNKNOWN International Society for Peritoneal Dialysis
Jul 28, 2012·Scandinavian Journal of Gastroenterology·George D LiatsosAntonios Moulakakis
Oct 1, 2013·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Byung Sihk KimJieun Kim
Jun 20, 2014·Canadian Journal of Gastroenterology & Hepatology·Melissa RatelleLydjie Tremblay
Feb 16, 2016·Korean Journal for Food Science of Animal Resources·Young Woo Park, Myoung Soo Nam

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Citations

Oct 8, 2020·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Olivier MatPatrick Philippart

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