Minakshi Gupta, Uma Shankar Saha, Ritesh Kumar, J. Laik, Minakshi Mishra
{"title":"Listeria innocua infection in an old case of total knee replacement – an unusual case report","authors":"Minakshi Gupta, Uma Shankar Saha, Ritesh Kumar, J. Laik, Minakshi Mishra","doi":"10.1099/acmi.0.000524.v3","DOIUrl":null,"url":null,"abstract":"<jats:p>Prosthetic implant-associated arthritis due to <jats:italic>\n <jats:named-content content-type=\"genus\">\n <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\" xlink:href=\"http://doi.org/10.1601/nm.5095\" xlink:type=\"simple\">Listeria</jats:ext-link>\n </jats:named-content>\n </jats:italic> is mostly reported for <jats:italic>\n <jats:named-content content-type=\"species\">\n <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\" xlink:href=\"http://doi.org/10.1601/nm.5096\" xlink:type=\"simple\">Listeria monocytogenes</jats:ext-link>\n </jats:named-content>\n </jats:italic>. Here, we describe a patient who underwent total knee replacement 12 years ago and presented with pain, tenderness, redness and local rise in temperature in the right knee. Purulent fluid was aspirated. Upon microbiological analysis, culture yielded <jats:italic>\n <jats:named-content content-type=\"species\">\n <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\" xlink:href=\"http://doi.org/10.1601/nm.5099\" xlink:type=\"simple\">Listeria innocua</jats:ext-link>\n </jats:named-content>\n </jats:italic>. <jats:italic>\n <jats:named-content content-type=\"species\">\n <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\" xlink:href=\"http://doi.org/10.1601/nm.5099\" xlink:type=\"simple\">L. innocua</jats:ext-link>\n </jats:named-content>\n </jats:italic> is rare. <jats:italic>\n <jats:named-content content-type=\"genus\">\n <jats:ext-link xmlns:xlink=\"http://www.w3.org/1999/xlink\" ext-link-type=\"uri\" xlink:href=\"http://doi.org/10.1601/nm.5095\" xlink:type=\"simple\">Listeria</jats:ext-link>\n </jats:named-content>\n </jats:italic> is not reported as a contaminant and routine cultures may be negative. Because of the long interval between surgery and the onset of symptoms, clinical suspicion, radiological investigations and analysing multiple samples are of immense help.</jats:p>","PeriodicalId":6956,"journal":{"name":"Access Microbiology","volume":"54 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Access Microbiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1099/acmi.0.000524.v3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Prosthetic implant-associated arthritis due to Listeria is mostly reported for Listeria monocytogenes. Here, we describe a patient who underwent total knee replacement 12 years ago and presented with pain, tenderness, redness and local rise in temperature in the right knee. Purulent fluid was aspirated. Upon microbiological analysis, culture yielded Listeria innocua. L. innocua is rare. Listeria is not reported as a contaminant and routine cultures may be negative. Because of the long interval between surgery and the onset of symptoms, clinical suspicion, radiological investigations and analysing multiple samples are of immense help.
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