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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versão On-line ISSN 2312-3893


VELAZQUEZ AGUAYO, Gladys et al. Bacteremia by Listeria monocytogenes in an adult patient with a clinical profile compatible with hepatic cirrhosis. Rev. virtual Soc. Parag. Med. Int. [online]. 2016, vol.3, n.1, pp.65-68. ISSN 2312-3893.

This was a female patient of 35 years old, long-term known alcoholic consuming 150 g/day of alcohol. She attends the service because of a clinical profile of approximately three days of evolution with diffuse abdominal pain plus anorexia, nauseas and hematemesis in many occasions. She also refers progressive abdominal enlargement of one month of evolution. She is admitted to the service with sepsis. Antibiotics treatment with ceftriaxone 2 g/day is started, covering abdominal focus (SBP) and previous hemoculture collection and ascitic fluid culture. Although hemodynamic support (inotropes) is provided, the patient dies on the second day of hospitalization. In the hemocultures, colonies of Gram positive bacilli were observed, beta hemolytic bacteria in blood agar and presence of L. monocytogenes was determined, being sensitive to penicillin with a MIC of 1 ug/ml.

Palavras-chave : Listeria monocytogenes; bacteremia; hepatic cirrhosis; sepsis.

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