Successful management of Listeria monocytogenes pericarditis: case report and review of the literature.

نویسندگان

  • Vasco Dias
  • Sofia Cabral
  • Diana Anjo
  • Miguel Vieira
  • Nuno Antunes
  • Graziela Carvalheiras
  • Catarina Gomes
  • Ana Meireles
  • Teresa Mendonça
  • Severo Torres
چکیده

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.

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عنوان ژورنال:
  • Acta cardiologica

دوره 66 4  شماره 

صفحات  -

تاریخ انتشار 2011