146 - Listeria Monocytogenes infections

Question 1

Listeria is G(_), can grow even in __ and comes from __. It is dangerous mostly for __ and __

Answer 1

\+
frost 
rotten food
pregnant women 
immunocompromised

Question 2

Listeria is found mostly in soft__, deli __/__,__, cold __

Answer 2

cheese
meat/cold-cut
milk
salads

Question 3

Diagnosis of listeria is made with __/__/__ cultures

Answer 3

blood
CSF
amniotic fluid

Question 4

What are the main groups of clinical sings of listeria:

Answer 4

GE (gastroenteritis)
bacteremia
meningitis
meningoencephalitis/focal CNS infections

Question 5

Listeria causes GE after __ h. symptoms include: 3. If the GE is isolated __ is not needed.

Answer 5

48
diarrhea
fever
headache
Abx

Question 6

Listeria bacteremia causes: 3. We should suspect bacteremia when neurological symptoms are present.
Consider __ in pregnant women even w/o CNS symptoms

Answer 6

fever
chills
myalgia/arthralgia
LP

Question 7

Listeria meningitis should be suspected in elders/chronic patients with ____. We will see less__ signs and __ and more __ and __.

Answer 7

aseptic meningitis 
meningeal 
photophobia
focal
seizures

Question 8

The CSF of patients with listeria meningitis will show - WBC with __ dominance, low __ and positive __. in 30-40% __ is possible

Answer 8

100-1000
neutrophils
glucose
gram stain
hydrocephalus

Question 9

Meningoencephalitis/focal CNS infection due to listeria has a __ prodrome with __ and __ followed by __ and focal signs. MRI + gadolinium is the test of choice- looking for ___ lesions

Answer 9

biphasic
fever
headache
decent
ring enhancing

Question 10

Meningoencephalitis/focal CNS infection due to listeria has a __ prodrome with __ and __ followed by __ and focal signs. MRI + gadolinium is the test of choice- looking for ___ lesions

Answer 10

biphasic
fever
headache
decent
ring enhancing

Question 11

Pregnant women with __, __/__/__/__ pain should be tested for listeria. __ is usually present.

Answer 11

fever
muscle/joint/back/head
bacteremia

Question 12

Listeria may cause complications during pregnancy such as __ and __ are possible. _% of fetus get infected and of them __ die. From the ones that are born _% die.

Answer 12

preterm birth
miscarriage 
80
50
20

Question 13

Treatment for listeria is with high dose IV __ with or without __. If allergic __.

Answer 13

ampicillin
gentamicin
TMP-SMX

Question 14

Listeria + bacteremia should be treated for _ weeks, newborn for _ weeks, meningitis for -, brain abscess/encephalitis for -

Answer 14

2
3
4-6
6-8