Review

Infection

, Volume 35, Issue 4, pp 212-218

First online:

Clinical Features of Liver Involvement in Adult Patients with Listeriosis. Review of the Literature

  • M. ScholingAffiliated withDept. of Medical Microbiology and Infection Control, VU University Medical CenterDept. of Medical Microbiology and Infection Control, Jeroen Bosch Medical Centre Email author 
  • , P. M. SchneebergerAffiliated withDept. of Medical Microbiology and Infection Control, Jeroen Bosch Medical Centre
  • , P. van den DriesAffiliated withDept. of Internal Medicine, Bernhoven Medical Centre
  • , J. P. H. DrenthAffiliated withDept. of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre

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Abstract

Clinical features of liver involvement due to Listeria monocytogenes infection in adults are rarely reported in literature. This is surprizing, regarding the current opinion that the portal system is extensively involved in the first stages of pathogenesis in invasive L. monocytogenes disease. A literature search in the PubMed and Embase database revealed 34 cases with clinical features of hepatic involvement due to listeriosis. We systematically analyzed all case reports with respect to clinical manifestations, treatment and outcome. In addition, we added clinical information on a patient diagnosed with a solitary liver abscess due to L. monocytogenes, who was seen at our institution. This review describes the different presentations of liver-involvement reported in listeriosis; solitary liver abscess, multiple liver abscesses and diffuse or granulomatous hepatitis. Distinction between these different forms of liver involvement is clinically relevant as they have a different outcome. We delve into the different pathogenic events leading to different forms of liver involvement. In addition, diagnostic modalities and possible treatments are reviewed.