人类李斯特菌病

IF 19 1区 医学 Q1 MICROBIOLOGY
Clinical Microbiology Reviews Pub Date : 2023-03-23 Epub Date: 2022-12-08 DOI:10.1128/cmr.00060-19
Merel M Koopmans, Matthijs C Brouwer, José A Vázquez-Boland, Diederik van de Beek
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引用次数: 15

摘要

单核细胞增生李斯特菌是一种革兰氏阳性的细胞内兼性病原体,摄入受污染的食物后可引起严重的侵袭性感染。临床上,李斯特菌病(或称李斯特菌病)最常见的症状是菌血症、脑膜炎或脑膜脑炎,妊娠相关感染表现为流产或新生儿败血症。在西方国家,侵袭性李斯特菌病危及生命,是导致入院治疗的食源性疾病的主要原因。通过国际食源性细菌监测系统和菌株基因数据共享,可以确定污染源。大规模的全基因组研究增加了我们对单核细胞增多性李斯特菌的多样性和进化的了解,而最近的病理生理学研究则提高了我们对李斯特菌病机理的认识。本文概述了人类李斯特菌病,重点介绍了致病菌的相关特征、流行病学、危险人群、发病机制、临床表现以及治疗和预防。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Human Listeriosis.

Listeria monocytogenes is a Gram-positive facultative intracellular pathogen that can cause severe invasive infections upon ingestion with contaminated food. Clinically, listerial disease, or listeriosis, most often presents as bacteremia, meningitis or meningoencephalitis, and pregnancy-associated infections manifesting as miscarriage or neonatal sepsis. Invasive listeriosis is life-threatening and a main cause of foodborne illness leading to hospital admissions in Western countries. Sources of contamination can be identified through international surveillance systems for foodborne bacteria and strains' genetic data sharing. Large-scale whole genome studies have increased our knowledge on the diversity and evolution of L. monocytogenes, while recent pathophysiological investigations have improved our mechanistic understanding of listeriosis. In this article, we present an overview of human listeriosis with particular focus on relevant features of the causative bacterium, epidemiology, risk groups, pathogenesis, clinical manifestations, and treatment and prevention.

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来源期刊
Clinical Microbiology Reviews
Clinical Microbiology Reviews 医学-微生物学
CiteScore
54.20
自引率
0.50%
发文量
38
期刊介绍: Clinical Microbiology Reviews (CMR) is a journal that primarily focuses on clinical microbiology and immunology.It aims to provide readers with up-to-date information on the latest developments in these fields.CMR also presents the current state of knowledge in clinical microbiology and immunology.Additionally, the journal offers balanced and thought-provoking perspectives on controversial issues in these areas.
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