|
KMID : 1144320120440020087
|
|
감염과 화학요법
2012 Volume.44 No. 2 p.87 ~ p.91
|
|
|
A Case of Pneumonia with Pleural Effusion Caused by Listeria monocytogenes
|
|
Kim Tark
Kim Dae-Young
Sung Heung-Sup
Kim Mi-Na
Kim Sung-Han
Choi Sang-Ho
Woo Jun-Hee
Kim Yang-Soo
Lee Sang-Oh
|
|
|
Abstract
|
|
|
|
Listeria monocytogenes is a facultative anaerobic gram positive rod bacteria that is wide spread in the natural environment and found in soil, water, decaying vegetation, and as part of the fecal flora of many mammals. It is also a common cause for meningoencephalitis and bacteremia in at-risk groups including neonates, pregnant women, elderly persons, and immunocompromised patients. However, pneumonia with pleuritis is a very rare manifestation of L. monocytogenes. We report a case of pneumonia with pleural effusion caused by L. monocytogenes as isolated from the blood culture of a patient diagnosed with acute lymphoblastic leukemia resulting from induction chemotherapy. The patient recovered after the introduction of therapeutic thoracentesis and administration of intravenous ampicillin (2 g q 6 hr ) plus gentamicin (1.7 mg/kg q 8 hr) over a two week period. This case demonstrated that L. monocytogenesis infection should be a consideration in the differential diagnosis of pneumonia and pleuritis in leukemic patients.
|
|
|
KEYWORD
|
|
|
Listeria monocytogenes, Pneumonia, Pleural effusion
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|