pISSN 2093-2340   eISSN 2092-6448
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    Infect Chemother. 2012 Dec;44(6):458-461. Korean.
    Published online Dec 31, 2012.
    https://doi.org/10.3947/ic.2012.44.6.458
    Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy
    Case Report

    Liver Abscess Caused by Listeria monocytogenes : A Case Report

    A Ri Shin,1 Soo Youn Moon,1 Jun Seong Son,1 Mi Suk Lee,1 and Hee Joo Lee2
      • 1Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
      • 2Department of Laboratory Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
    • Correspondence to Mi Suk Lee, M.D., Ph.D. Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, 1.Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Korea. Tel: +82-2-958-1634, Fax: +82-2-968-1848, Email: mslee@khmc.or.kr
    Received March 14, 2012; Revised May 09, 2012; Accepted June 01, 2012.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Listeria monocytogenes has been recognized as a pathogen in elderly and immunecompromised hosts with malignancies, alcohol abuse, diabetes mellitus, transplanted organs, liver cirrhosis, renal failure, or acquired immunodeficiency syndrome (AIDS). In adults, it usually presents as neuromeningeal infection, such as meningitis, meningoencephalitis, or encephalitis, or as primary bacteremia. Involvement of the liver with L. monocytogenes is uncommon. We report on a case of multiple liver abscesses and bacteremia associated with L. monocytogenes in a 67-year-old diabetic female with concomitant active multidrug-resistant pulmonary tuberculosis. Blood cultures were positive for L. monocytogenes. In patients with liver abscess with advanced age or who are immune-compromised, including those with diabetes, clinicians should consider Listeria infection as a differential diagnosis.

    Keywords
    Listeria monocytogenes; Liver abscess; Listeriosis

    Figures

    Figure 1
    Chest X-ray (CXR) shows segmental atelectasis and consolidation at the right middle lobe (RML).

    Figure 2
    Abdomen computed tomography (CT) shows diffuse multiple tiny low density lesions in both lobes of the liver, accompanied by mild peripheral rim enhancement.

    Figure 3
    Microscopically, section from liver shows rather well preserved lobular architecture with portal and perivenular fibrosis. No evidence of granuloma or malignancy is seen. (A: Masson's trichrome stain, B: H&E stain, ×100)

    Figure 4
    Abdomen computed tomography (CT) shows a completely improved liver abscess at both lobes of the liver.

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    MeSH Terms
    Acquired Immunodeficiency Syndrome
    Adult
    Aged
    Alcoholism
    Bacteremia
    Diabetes Mellitus
    Diagnosis, Differential
    Encephalitis
    Female
    Humans
    Listeria
    Listeria monocytogenes
    Listeriosis
    Liver
    Liver Abscess
    Liver Cirrhosis
    Meningitis
    Meningoencephalitis
    Renal Insufficiency
    Transplants
    Tuberculosis, Pulmonary
    Metrics
    Share
    Figures
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