Outras apresentações
A bacteremia e a sepse são as manifestações mais comuns da listeriose entre pacientes imunocomprometidos, gestantes e neonatos.[1]Mylonakis E, Hofmann EL, Calderwood SB. Central nervous system infection with Listeria monocytogenes. 33 years' experience at a general hospital and review of 776 episodes from the literature. Medicine (Baltimore). 1998 Sep;77(5):313-36.
http://www.ncbi.nlm.nih.gov/pubmed/9772921?tool=bestpractice.com
[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
[3]Filice GA, Cantrell HF, Smith AB, et al. Listeria monocytogenes infection in neonates: investigation of an epidemic. J Infect Dis. 1978 Jul;138(1):17-23.
http://www.ncbi.nlm.nih.gov/pubmed/98594?tool=bestpractice.com
[4]Quereda JJ, Morón-García A, Palacios-Gorba C, et al. Pathogenicity and virulence of listeria monocytogenes: a trip from environmental to medical microbiology. Virulence. 2021 Dec;12(1):2509-45.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8496543
http://www.ncbi.nlm.nih.gov/pubmed/34612177?tool=bestpractice.com
A infecção pode causar manifestações localizadas, como abscessos hepáticos, esplênicos e renais; artrite; conjuntivite; e distúrbios cutâneos.[1]Mylonakis E, Hofmann EL, Calderwood SB. Central nervous system infection with Listeria monocytogenes. 33 years' experience at a general hospital and review of 776 episodes from the literature. Medicine (Baltimore). 1998 Sep;77(5):313-36.
http://www.ncbi.nlm.nih.gov/pubmed/9772921?tool=bestpractice.com
[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
[5]Lorber B. Listeriosis. Clin Infect Dis. 1997 Jan;24(1):1-9.
http://www.ncbi.nlm.nih.gov/pubmed/8994747?tool=bestpractice.com
A infecção do sistema nervoso central (SNC) pode causar abscessos cerebrais, paralisia do nervo craniano, convulsões, distúrbios do movimento e romboencefalite (encefalite do tronco encefálico em adultos saudáveis).[1]Mylonakis E, Hofmann EL, Calderwood SB. Central nervous system infection with Listeria monocytogenes. 33 years' experience at a general hospital and review of 776 episodes from the literature. Medicine (Baltimore). 1998 Sep;77(5):313-36.
http://www.ncbi.nlm.nih.gov/pubmed/9772921?tool=bestpractice.com
[4]Quereda JJ, Morón-García A, Palacios-Gorba C, et al. Pathogenicity and virulence of listeria monocytogenes: a trip from environmental to medical microbiology. Virulence. 2021 Dec;12(1):2509-45.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8496543
http://www.ncbi.nlm.nih.gov/pubmed/34612177?tool=bestpractice.com
[6]Armstrong RW, Fung PC. Brainstem encephalitis (rhombencephalitis) due to Listeria monocytogenes: case report and review. Clin Infect Dis. 1993 May;16(5):689-702.
http://www.ncbi.nlm.nih.gov/pubmed/8507761?tool=bestpractice.com
A bacteremia pode envolver valvas protéticas ou nativas.
Gestantes podem apresentar doença similar à gripe.[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
Embora a bacteremia seja relativamente comum durante a gestação, o comprometimento do SNC é relativamente incomum. A listeriose está associada a um aumento na incidência de aborto espontâneo.[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
[4]Quereda JJ, Morón-García A, Palacios-Gorba C, et al. Pathogenicity and virulence of listeria monocytogenes: a trip from environmental to medical microbiology. Virulence. 2021 Dec;12(1):2509-45.
https://pmc.ncbi.nlm.nih.gov/articles/PMC8496543
http://www.ncbi.nlm.nih.gov/pubmed/34612177?tool=bestpractice.com
[7]Committee on Obstetric Practice, American College of Obstetricians and Gynecologists. Committee opinion no. 614: management of pregnant women with presumptive exposure to listeria monocytogenes. Obstet Gynecol. 2014 Dec;124(6):1241-4.
http://www.ncbi.nlm.nih.gov/pubmed/25411758?tool=bestpractice.com
O aborto séptico devido à granulomatose infantisséptica (transmissão transplacentária e microabscessos disseminados) é uma complicação grave.[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
Os neonatos podem apresentar sinais muito sutis e ausência de febre.[2]Mylonakis E, Paliou M, Hofmann EL, et al. Listeriosis during pregnancy: a case series and review of 222 cases. Medicine (Baltimore). 2002 Jul;81(4):260-9.
https://journals.lww.com/md-journal/Fulltext/2002/07000/Listeriosis_During_Pregnancy__A_Case_Series_and.2.aspx
http://www.ncbi.nlm.nih.gov/pubmed/12169881?tool=bestpractice.com
Os sintomas gastrointestinais de diarreia, náuseas e vômitos combinados com febre podem produzir o quadro clínico de gastroenterite febril decorrente de alimentos contaminados. Isso pode ocorrer esporadicamente ou na forma de epidemia.[8]Schuchat A, Deaver K, Hayes PS, et al. Gastrointestinal carriage of Listeria monocytogenes in household contacts of patients with listeriosis. J Infect Dis. 1993 May;167(5):1261-2.
http://www.ncbi.nlm.nih.gov/pubmed/8486970?tool=bestpractice.com
A listeriose não tratada pode causar coagulação intravascular disseminada, disfunção de múltiplos órgãos, choque e morte.[1]Mylonakis E, Hofmann EL, Calderwood SB. Central nervous system infection with Listeria monocytogenes. 33 years' experience at a general hospital and review of 776 episodes from the literature. Medicine (Baltimore). 1998 Sep;77(5):313-36.
http://www.ncbi.nlm.nih.gov/pubmed/9772921?tool=bestpractice.com