Listeriosis and aids : case report and literature review

Listeriosis is a not uncommon infection in humans, usually associated with immunodeficient states and with newborns. However, relatively few cases have been reported in HIV-infected patients. This scarcity of reported cases has aroused interest in the association of listeriosis and AIDS. In this pap...

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Published in:	Revista do Instituto de Medicina Tropical de São Paulo Vol. 34; no. 5; pp. 475 - 478
Main Authors:	DA SILVA, L. J, RESENDE, M. R, PEDRO, R. D. J, ROSSI, C. L, DE ABREU, W. B, AOKI, F. H, BOCATTO, R. B. S, BRANCHINNI, M. L. M, GONCALES, F. L, DE LIMA, J. N, VON NOWAKONSKI, A, PAPAIORDANOU, P. M. O
Format:	Journal Article
Language:	English
Published:	São Paulo Instituto de Medicina Tropical de São Paulo 01-09-1992 Instituto de Medicina Tropical
Subjects:	Adult AIDS-Related Opportunistic Infections - diagnosis AIDS-Related Opportunistic Infections - drug therapy Ampicillin - administration & dosage Biological and medical sciences Diagnosis, Differential Female HIV-1 Humans Immunodeficiencies. Immunoglobulinopathies Immunopathology Medical sciences Meningitis, Listeria - diagnosis Meningitis, Listeria - drug therapy Sepsis - diagnosis Sepsis - drug therapy Substance Abuse, Intravenous - complications TROPICAL MEDICINE South America Brazil America Human Immunopathology Nervous system diseases Septicemia Listeriosis AIDS Hemopathy Infection Case study Concomitant disease Viral disease Bacteriosis Meningitis Listeria meningitis
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Summary:	Listeriosis is a not uncommon infection in humans, usually associated with immunodeficient states and with newborns. However, relatively few cases have been reported in HIV-infected patients. This scarcity of reported cases has aroused interest in the association of listeriosis and AIDS. In this paper we present a case of meningitis and septicemia caused by Listeria monocytogenes in a female patient with AIDS. A review of recent medical literature indicates that association of listeriosis and AIDS may be more common than it seems. Recent research in host-parasite interaction in listerial infection suggests an important role for tumor necrosis factor (TNF) and for integralin, a bacterial protein, in modulating listerial disease in AIDS patients. Inadequate diagnosis may be in part responsible for the scarcity of reports.
ISSN:	0036-4665 1678-9946 1678-9946 0036-4665
DOI:	10.1590/S0036-46651992000500016