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Shin, Moon, Son, Lee, and Lee: Liver Abscess Caused by Listeria monocytogenes : A Case Report
Case Report
Infection & Chemotherapy

Infection & Chemotherapy 2012; 44(6): 458-461.

Published online: 31 December 2012

DOI: https://doi.org/10.3947/ic.2012.44.6.458

Liver Abscess Caused by Listeria monocytogenes : A Case Report

A Ri Shin1, Soo Youn Moon1, Jun Seong Son1, Mi Suk Lee1, Hee Joo Lee2

1Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea.

2Department of Laboratory Medicine, Kyung Hee University School of Medicine, Seoul, Korea.

Correspondence to Mi Suk Lee, M.D., Ph.D. Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University School of Medicine, 1.Hoegi-dong, Dongdaemun-gu, Seoul, 130-702, Korea. Tel: +82-2-958-1634, Fax: +82-2-968-1848, mslee@khmc.or.kr

Received 14 March 2012       Revised 9 May 2012       Accepted 1 June 2012

Copyright © 2012 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Listeria monocytogenes has been recognized as a pathogen in elderly and immunecompromised hosts with malignancies, alcohol abuse, diabetes mellitus, transplanted organs, liver cirrhosis, renal failure, or acquired immunodeficiency syndrome (AIDS). In adults, it usually presents as neuromeningeal infection, such as meningitis, meningoencephalitis, or encephalitis, or as primary bacteremia. Involvement of the liver with L. monocytogenes is uncommon. We report on a case of multiple liver abscesses and bacteremia associated with L. monocytogenes in a 67-year-old diabetic female with concomitant active multidrug-resistant pulmonary tuberculosis. Blood cultures were positive for L. monocytogenes. In patients with liver abscess with advanced age or who are immune-compromised, including those with diabetes, clinicians should consider Listeria infection as a differential diagnosis.

Keywords: Listeria monocytogenes, Liver abscess, Listeriosis

Figures and Tables

Figure 1
Chest X-ray (CXR) shows segmental atelectasis and consolidation at the right middle lobe (RML).
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Figure 2
Abdomen computed tomography (CT) shows diffuse multiple tiny low density lesions in both lobes of the liver, accompanied by mild peripheral rim enhancement.
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Figure 3
Microscopically, section from liver shows rather well preserved lobular architecture with portal and perivenular fibrosis. No evidence of granuloma or malignancy is seen. (A: Masson's trichrome stain, B: H&E stain, ×100)
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Figure 4
Abdomen computed tomography (CT) shows a completely improved liver abscess at both lobes of the liver.
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