Listeria monocytogenes meningoencephalitis against the background of the new coronavirus infection: a clinical case
- Authors: Ulyanova O.V.1, Ermolenko N.A.1, Banin I.N.2, Belinskaya V.V.2, Dutova T.I.2, Kulikov A.V.2, Golovina N.P.2
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Affiliations:
- Voronezh State Medical University
- Voronezh City Clinical Emergency Hospital No 1
- Issue: Vol 14, No 4 (2023)
- Pages: 122-128
- Section: Case reports
- URL: https://journals.rcsi.science/clinpractice/article/view/253959
- DOI: https://doi.org/10.17816/clinpract567958
- ID: 253959
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Abstract
Background: Among the bacteria that affect the central nervous system, Listeria monocytogenes (facultative intracellular bacterium) is one of the most lethal to humans and animals. Listeriosis affects domestic and farm animals (pigs, small and large cattle, horses, rabbits, less often cats and dogs), as well as domestic and ornamental birds (geese, chickens, ducks, turkeys, pigeons, parrots and canaries). L. monocytogenes can be detected in fish and seafood (shrimp). The source of L. monocytogenes infection are animals in which the disease may manifest itself or occur in erased and asymptomatic forms followed by the transition to a long-term carriage. This pathogen is found throughout the world in foodstuffs, and most cases of infection occur through the ingestion of contaminated food. Particularly susceptible to the disease are embryos, newborns, the elderly and individuals with immunodeficiencies and chronic diseases. L. monocytogenes can cause intracranial hemorrhage, meningitis, meningoencephalitis, and rhombencephalitis. Clinical case description: This paper presents our own clinical observation of the development of severe listeriosis meningoencephalitis in a 47 year-old patient against the background of the new coronavirus infection (COVID-19). We describe the details of the clinical presentation, the treatment and the favorable outcome in our patient. Conclusion: Invasive listeriosis is a rare disease. The knowledge about the clinical manifestations of this disease is needed not only for epidemiologists and infectious disease specialists, but also for physicians of other specialties. Untimely diagnosis and inadequate antibacterial therapy are dangerous leading to severe somatic and neurological complications with a lethal outcome or disability both in children and adult persons.
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##article.viewOnOriginalSite##About the authors
Olga V. Ulyanova
Voronezh State Medical University
Author for correspondence.
Email: alatau08@mail.ru
ORCID iD: 0000-0003-2754-2670
SPIN-code: 9099-1878
MD, PhD, Associate Professor
Russian Federation, VoronezhNatalia A. Ermolenko
Voronezh State Medical University
Email: ermola@bk.ru
ORCID iD: 0000-0001-7197-6009
SPIN-code: 8604-1145
MD, PhD
Russian Federation, VoronezhIgor N. Banin
Voronezh City Clinical Emergency Hospital No 1
Email: banin_igor@mail.ru
ORCID iD: 0000-0003-2359-9215
SPIN-code: 1934-4945
MD, PhD
Russian Federation, VoronezhVera V. Belinskaya
Voronezh City Clinical Emergency Hospital No 1
Email: v.v.belinskaya@gmail.com
MD, PhD
Russian Federation, VoronezhTatyana I. Dutova
Voronezh City Clinical Emergency Hospital No 1
Email: dutova80@mail.ru
ORCID iD: 0000-0001-8181-3991
SPIN-code: 5493-0607
MD, PhD
Russian Federation, VoronezhArkady V. Kulikov
Voronezh City Clinical Emergency Hospital No 1
Email: alatau08@mail.ru
Russian Federation, Voronezh
Nadezhda P. Golovina
Voronezh City Clinical Emergency Hospital No 1
Email: golovinanp78@mail.ru
Russian Federation, Voronezh
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