2017, Cilt 47, Sayı 3, Sayfa(lar) 146-150 |
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A Rarely Isolated Pathogen: Listeria monocytogenes |
Zeynep AYAYDIN1, Gülseren SAMANCI AKTAR1, Arzu RAHMANALI ONUR1, Demet GÜR VURAL2, Hakan TEMİZ1 |
1Gazi Yaşargil Eğitim ve Araştırma Hastanesi, Mikrobiyoloji Laboratuvarı, Diyarbakır 2Gebze Fatih Devlet Hastanesi, Mikrobiyoloji Laboratuvarı, Kocaeli |
Keywords: Immune suppression, bacteremia, Listeria monocytogenes |
Listeria monocytogenes is usually a zoonotic infectious
agent. It is an important pathogen that may cause infection
in the elderly or in immunocompromised patients with
predisposing conditions. The present case is presented to
underline the necessity of keeping in mind that
L. monocytogenes can be the cause of bacteremia in
geriatric and immunocompromised patients. An 89-yearold
patient, who was diagnosed as iron deficiency anemia
four months before hospitalization, was hospitalized in the
Internal Medicine Clinic and his blood samples were
transferred to our laboratory for blood culture. Growth of
catalase-positive, oxidase-negative gram-positive bacteria
in the morphology of coccobacillus was observed in the
blood culture. The isolated strain was identified
as L. monocytogenes using the conventional methods and
the automated system (VITEK 2, bioMérieux, France). The
strain identified as L. monocytogenes by device was
transferred to the Marmara University Pendik Training
and Research Hospital Microbiology Laboratory and the
bacterial identification was confirmed at the species level
using Matrix-assisted laser desorption ionization-time of
flight mass spectrometry (MALDI-TOF MS) (Bruker
Daltonics, Bremen, Germany) with mass spectrometer
method in this center. In the susceptibility testing performed
by disk diffusion method, it was established that the strain
was found susceptible to most of the antibiotics and
moderately susceptible to ciprofloxacin and levofloxacin.
In conclusion, although L. monocytogenes is known as a
rare cause of infection, it should be considered that factors
such as age, malignancy or underlying chronic disease
may enhance the tendency for listeriosis-like infections, as
was observed in the present case. It would be reasonable to
underline the necessity of keeping L. monocytogenes in
mind in any meningitis case manifesting blood and
cerebrospinal (CSF) signs and of planning the empirical
therapy accordingly.
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