Listeria monocytogenes infection in a patient with pelvic sarcoma

Authors

  • Francisco Javier Durán-Garrido Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario Virgen de La Victoria. Málaga. España https://orcid.org/0000-0002-8960-7874
  • Juan Miguel Gómez-Palomo Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario Virgen de La Victoria. Málaga. España
  • Francisco Javier Estades-Rubio Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario Virgen de La Victoria. Málaga. España
  • Carlos Jiménez-Garrido Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario Virgen de La Victoria. Málaga. España
  • Enrique Nuño-Álvarez Unidad de Enfermedades Infecciosas. Hospital Universitario Virgen de La Victoria. Málaga. España
  • Francisco Javier de Santos-de La Fuente Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario Virgen de La Victoria. Málaga. España

DOI:

https://doi.org/10.32818/reccmi.a5n2a9

Keywords:

listeria monocytogenes, prosthesis-related infections, immunosuppression, orthopedic procedures, hemipelvectomy.

Abstract

Listeria monocytogenes is a gram-positive bacillus. Infection in humans is unusual, mainly affecting immunosuppressed patients. However, there has been a notable increase in cases recently. This case is of a 75-yearold female treated with hemipelvectomy and subsequent reconstruction with a prosthesis anchored to the iliac crest; she later suffered post-surgical infection with Listeria monocytogenes. We discuss the treatment followed and post-operative evolution. The patient fully recovered, normal blood tests 40 days after discharge from hospital and asymptomatic 2 years after surgery. Although infection with Listeria monocytogenes after prosthetic surgery is an uncommon complication, it is important to bear it in mind and be prepared for treating it, both from a surgical perspective and in terms of proper management with antibiotics.

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References

Allerberger F, Kasten MJ, Cockerill FR 3rd, Krismer M, Dierich MP. Listeria monocytogenes infection in prosthetic joints. Int Orthop. 1992; 16(3): 237-9. doi: https://doi.org/10.1007/bf00182702.

Lepe JA. Current aspects of listeriosis. Med Clin (Barc). 2020 Jun 12;154(11):453-458. doi: https://doi.org/10.1016/j.medcli.2020.02.001.

Mook P, O'Brien SJ, Gillespie IA. Concurrent conditions and human listeriosis, England, 1999-2009. Emerg Infect Dis. 2011; 17(1): 38-43. doi: https://doi.org/10.3201/eid1701.101174.

Schafroth M., Zimmerli W., Brunazzi M., Ochsner P.E. (2003) Infections. In: Ochsner P.E. (eds) Total Hip Replacement. Springer, Berlin, Heidelberg. Accesible en: https://link.springer.com/chapter/10.1007/978-3-642-55679-1_5. Último acceso abril 2020.

Cone LA, Fitzmorris AO, Hirschberg JM. Is Listeria monocytogenes an important pathogen for prosthetic joints? J Clin Rheumatol. 2001; 7(1): 34-7. doi: https://doi.org/10.1097/00124743-200102000-00008.

Drago L, Signori V, De Vecchi E, Vassena C, Palazzi E, Cappelletti L et al. Use of dithiothreitol to improve the diagnosis of prosthetic joint infections. J Orthop Res. 2013; 31(11): 1694-9. doi: https://doi.org/10.1002/jor.22423.

Drevets DA, Canono BP, Leenen PJ, Campbell PA. Gentamicin kills intracellular Listeria monocytogenes. Infect Immun. 1994; 62(6): 2222-8.

Moellering RC Jr, Medoff G, Leech I, Wennersten C, Kunz LJ. Antibiotic synergism against Listeria monocytogenes. Antimicrob Agents Chemother. 1972; 1(1): 30-4.

Massarotti EM, Dinerman H. Septic arthritis due to Listeria monocytogenes: report and review of the literature. J Rheumatol. 1990; 17(1): 111-3.

Angelini A, Drago G, Trovarelli G, Calabrò T, Ruggieri P. Infection after surgical resection for pelvic bone tumors: an analysis of 270 patients from one institution. Clin OrthopRelat Res. 2014; 472(1): 349-59. doi: https://doi.org/10.1007/s11999-013-3250-x.

Tornero E, Pereira A, Basora M, Lozano L, Morata L, Muñoz-Mahammud E et al. Intraoperative Transfusion of Red Blood Cell Units Stored >14 Days is Associated with an Increased Risk of Prosthetic Joint Infection. J Bone Jt Infect. 2019; 4(2): 85-91. doi: https://doi.org/10.7150/jbji.30001.

Ercole FF, Chianca TC, Duarte D, Starling CE, Carneiro M. Surgical site infection in patients submitted to orthopedic surgery: the NNIS risk index and risk prediction. Rev Lat Am Enfermagem. 2011; 19(2): 269-76. doi: https://doi.org/10.1590/s0104-11692011000200007.

Published

2020-08-31

How to Cite

1.
Durán-Garrido FJ, Gómez-Palomo JM, Estades-Rubio FJ, Jiménez-Garrido C, Nuño-Álvarez E, de Santos-de La Fuente FJ. Listeria monocytogenes infection in a patient with pelvic sarcoma. Rev Esp Casos Clin Med Intern [Internet]. 2020 Aug. 31 [cited 2024 Dec. 22];5(2):81-3. Available from: https://www.reccmi.com/RECCMI/article/view/544