Listeriosis differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
The diagnosis of listeriosis should be considered in the following | 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> | ||
* [[Febrile]] [[gastroenteritis]] from foodborn outbreaks, with unidentified pathogen by routine cultures | |||
* Febrile gastroenteritis from foodborn outbreaks, with unidentified pathogen by routine cultures | * [[Fever]] during the 3rd trimester of pregnancy | ||
* Neonatal sepsis or meningitis | * [[Neonatal sepsis]] or [[meningitis]] | ||
* Parenchymal brain infections or meningitis in the following patients: | * Parenchymal brain [[infections]] or [[meningitis]] in the following patients: | ||
:* HIV | :* [[HIV]] | ||
:* Hematological malignancies | :* [[Hematological malignancies]] | ||
:* History of organ transplant | :* History of [[organ transplant]] | ||
:* Treatment with corticosteroids | :* Treatment with [[corticosteroids]] | ||
:* Adults older than 50 years of age | :* Adults older than 50 years of age | ||
* Concomitant meningeal infection and | * Concomitant [[meningeal]] [[infection]] and parenchymal brain [[infection]] | ||
* Subcortical brain abscess | * Subcortical [[brain abscess]] | ||
* Identification of diphtheroids on: | * Identification of diphtheroids on: | ||
:* Blood | :* [[Blood culture]]s | ||
:* Gram stain | :* [[Gram stain]] | ||
:* CSF | :* [[CSF]] | ||
==References== | ==References== | ||
Revision as of 20:04, 23 July 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
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 culture media fail to identify the pathogen; parenchymal brain infections in certain classes of patients; subcortical brain abscesses; fever during the last trimester of pregnancy; and when diphtheroids are identified in blood cultures or CSF.[1]
Differential Diagnosis
The diagnosis of listeriosis should be considered in the following cases:[1]
- Febrile gastroenteritis from foodborn outbreaks, with unidentified pathogen by routine cultures
- Fever during the 3rd trimester of pregnancy
- Neonatal sepsis or meningitis
- Parenchymal brain infections or meningitis in the following patients:
- HIV
- Hematological malignancies
- History of organ transplant
- Treatment with corticosteroids
- Adults older than 50 years of age
- Concomitant meningeal infection and parenchymal brain infection
- Subcortical brain abscess
- Identification of diphtheroids on: