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]]
{{CMG}}; {{AE}} {{JS}}
{{CMG}}; {{AE}} {{JS}}; {{YD}}


==Overview==
==Overview==
Attending to the different clinical [[syndromes]] that [[listeriosis]] might assume, this condition should be considered in the [[differential diagnosis]] of diseases such as: [[febrile]] [[gastroenteritis]]; foodborne [[outbreaks]], when routine [[cell culture|culture]] media fail to identify the pathogen; parenchymal brain [[infections]] in certain classes of patients; subcortical [[brain abscess]]es; [[fever]] during the last trimester of pregnancy; and when diphtheroids are identified in [[blood culture]]s or [[CSF]].<ref name="Lorber1997">{{cite journal|last1=Lorber|first1=B.|title=Listeriosis|journal=Clinical Infectious Diseases|volume=24|issue=1|year=1997|pages=1–11|issn=1058-4838|doi=10.1093/clinids/24.1.1}}</ref>
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 cases:<ref name="Lorber1997">{{cite journal|last1=Lorber|first1=B.|title=Listeriosis|journal=Clinical Infectious Diseases|volume=24|issue=1|year=1997|pages=1–11|issn=1058-4838|doi=10.1093/clinids/24.1.1}}</ref>
The differential diagnosis of listeriosis includes the following:
* [[Febrile]] [[gastroenteritis]] from foodborn outbreaks, with unidentified pathogen by routine cultures
* Infectious causes of [[gastroenteritis]], such as ''[[E. coli]]'', ''[[Shigella]]'', ''[[Salmonella]]'', or ''[[Campylobacter]]''
* [[Fever]] during the 3rd trimester of pregnancy
* Infectious causes of [[neonatal]] [[meningitis]], such as ''[[E. coli]]'' or Group B ''[[Streptococcus]]''
* [[Neonatal sepsis]] or [[meningitis]]
* Infectious causes of [[CNS disease]], such as ''[[N. meningitidis]]'', ''[[Streptococcus|Streptococcus spp.]]'', or [[abscess|abscess formation]]
* Parenchymal brain [[infections]] or [[meningitis]] in the following patients:
* Infectious causes of genitourinary diseases, such as ''[[Candida]]'' infections, ''[[E. coli]]'', ''[[Staphylococcus]] spp.'', [[enterobacteriaceae]], ''[[Serratia]] spp.'', or ''[[Hemophilus spp]].''
:* [[HIV]]
* Infectious causes of [[endocarditis]], such as ''[[Staphylococcus]]'' or [[enterobacteriaceae]]
:* [[Hematological malignancies]]
* Other organisms that have morphological resemblance to ''[[Listeria monocytogenes|Listeria]]'', such as [[pneumococci]], [[Diphtheroid|diphtheroids]], or ''[[Haemophilus spp]].''
:* History of [[organ transplant]]
* [[Hematological malignancies]]
:* Treatment with [[corticosteroids]]
* [[Tuberculosis]]
:* Adults older than 50 years of age
* [[Infectious mononucleosis]]
* Concomitant [[meningeal]] [[infection]] and parenchymal brain [[infection]]
* [[Sarcoidosis]]
* Subcortical [[brain abscess]]
* [[Drug fever]]
* Identification of diphtheroids on:
* [[Thyroid disease]]
:* [[Blood culture]]s
* [[Rheumatologic disease]]
:* [[Gram stain]]
* [[Vasculitis]]
:* [[CSF]]


==References==
==References==


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


{{WH}}
{{WH}}
{{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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