A case of transient Listeria monocytogenes bacteremia recovered without antimicrobial chemotherapy.
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概要
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It is well known that human listeriosis leads to meningitis, bacteremia and granulomatosis infantiseptica in neonates and infants.In adults, it develops as an opportunistic infection in immunocompromised hosts.Naturally, its prognosis is said to be worse in adults than in children.<BR>Recently we encountered a patient with lung cancer, in whom Listeria monocytogenes bacteremia recovered spontaneously without antimicrobial chemotherapy.The patient was a 55-year-old man who was under anticancer chemotherapy combined with irradiation for adenocarcinoma of the lung.He developed bacteremia due to Listeria monocytogenes 4b accompanied by pyrexia and general fatigueduring leucocytopenia.The febrile condition, however, soon disappeared and bacteremia resolved spontaneously with the negative result of the next blood culture.He died of the underlying disease, lung cancer, three months later.Post mortem examination disclosed no purulent lesions.<BR>Indeed, in a very few patients with malignancy, Listeria monocytogenes bacteremia seemed to resolve spontaneously.
- The Japanese Association for Infectious Diseasesの論文
The Japanese Association for Infectious Diseases | 論文
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