Listeriosis differential diagnosis: Difference between revisions

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{{Listeriosis}}
[[Image:Home_logo1.png|right|250px|link=https://www.wikidoc.org/index.php/Listeriosis]]
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==Overview==
==Overview==
Attending to the different clinical syndromes that listeriosis might assume, this disease should be considered in the differential diagnosis of diseases such as:
Listeriosis is associated with more than one clinical [[syndrome]]. It must be differentiated from other [[infections]] that cause [[fever]] and systemic/localized symptoms (either [[CNS disease]], [[gastroenteritis]], [[genitourinary]] [[disease]], [[endocarditis]], or [[bacteremia]]), such as ''[[E. coli]]'', ''[[Neisseria]] spp.'', ''[[Streptococcus]] spp.'', ''[[Staphylococcus]] spp.'', ''[[Shigella]]'', ''[[Salmonella]]'', ''[[Campylobacter]]'', ''[[Serratia]] spp.'', or ''[[Haemophilus]] spp.'', [[mononucleosis]], or [[tuberculosis]]. ''[[Listeria monocytogenes]]'' must also be differentiated from other [[organisms]] that are morphologically similar, such as [[pneumococci]], [[Diphtheroid|diphtheroids]], or ''[[Haemophilus spp]].'' Differential diagnosis of listeriosis additionally includes [[Hematological malignancies|hematologic malignancies]] (such as [[leukemia]] or [[lymphoma]]), [[thyroid disease]], [[drug fever]], [[vasculitis|vasculitides]], or [[rheumatologic disease]]s.


==Differential Diagnosis==
==Differential Diagnosis==
The diagnosis of listeriosis should be considered in the following illnesses:
The differential diagnosis of listeriosis includes the following:
* Febrile gastroenteritis from food born outbreaks, with unidentified pathogen by routine cultures
* Infectious causes of [[gastroenteritis]], such as ''[[E. coli]]'', ''[[Shigella]]'', ''[[Salmonella]]'', or ''[[Campylobacter]]''
* Neonatal sepsis or meningitis
* Infectious causes of [[neonatal]] [[meningitis]], such as ''[[E. coli]]'' or Group B ''[[Streptococcus]]''
* Parenchymal brain infections or meningitis in the following patients:
* Infectious causes of [[CNS disease]], such as ''[[N. meningitidis]]'', ''[[Streptococcus|Streptococcus spp.]]'', or [[abscess|abscess formation]]
:* HIV
* Infectious causes of genitourinary diseases, such as ''[[Candida]]'' infections, ''[[E. coli]]'', ''[[Staphylococcus]] spp.'', [[enterobacteriaceae]], ''[[Serratia]] spp.'', or ''[[Hemophilus spp]].''
:* Hematological malignancies
* Infectious causes of [[endocarditis]], such as ''[[Staphylococcus]]'' or [[enterobacteriaceae]]
:* History of organ transplant
* Other organisms that have morphological resemblance to ''[[Listeria monocytogenes|Listeria]]'', such as [[pneumococci]], [[Diphtheroid|diphtheroids]], or ''[[Haemophilus spp]].''
:* Treatment with corticosteroids
* [[Hematological malignancies]]
:* Adults older than 50 years of age
* [[Tuberculosis]]
* Concomitant meningeal infection and of the brain parenchyma
* [[Infectious mononucleosis]]
* Subcortical brain abscess
* [[Sarcoidosis]]
* Fever during the 3rd trimester of fever
* [[Drug fever]]
* Identification of diphtheroids on:
* [[Thyroid disease]]
:* Blood cultures
* [[Rheumatologic disease]]
:* Gram stain
* [[Vasculitis]]
:* CSF


==References==
==References==


{{Reflist|2}}
{{Reflist|2}}
[[Category:Bacterial diseases]]
 
[[Category:Disease]]
[[Category:Infectious disease]]


{{WH}}
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{{WS}}
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[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Neurology]]
[[Category:Gastroenterology]]

Latest revision as of 22:31, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]; Yazan Daaboul, M.D.

Overview

Listeriosis is associated with more than one clinical syndrome. It must be differentiated from other infections that cause fever and systemic/localized symptoms (either CNS disease, gastroenteritis, genitourinary disease, endocarditis, or bacteremia), such as E. coli, Neisseria spp., Streptococcus spp., Staphylococcus spp., Shigella, Salmonella, Campylobacter, Serratia spp., or Haemophilus spp., mononucleosis, or tuberculosis. Listeria monocytogenes must also be differentiated from other organisms that are morphologically similar, such as pneumococci, diphtheroids, or Haemophilus spp. Differential diagnosis of listeriosis additionally includes hematologic malignancies (such as leukemia or lymphoma), thyroid disease, drug fever, vasculitides, or rheumatologic diseases.

Differential Diagnosis

The differential diagnosis of listeriosis includes the following:

References


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