Listeriosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

The findings on the physical examination depend on the clinical manifestation of listeriosis. Common findings include fever, tachycardia, pallor, and abdominal tenderness. Signs of neurological involvement may include altered mental state, paralysis, respiratory failure, and coma.

Physical Examination

The findings on the physical examination depend on the clinical manifestation of listeriosis. Click on the links below for the exact clinical manifestation you are lookig for:

• Febrile gastroenteritis
• Infection in pregnancy
• Sepsis of unknown origin
• Meningoencephalitis
• Encephalitis
• Rhombencephalitis
• Brain abscess
• Spinal cord infection
• Endocarditis

Febrile Gastroenteritis

Organ System	Findings
General Appearance	Patient is ill-looking
Vital Signs	Fever
	Tachycardia
	Tachypnea
	Hypotension
Skin	Pallor
HEENT	Dry mucous membranes
Neurologic	Altered mental status
	Motor and sensory focal neurologic signs
Abdominal	Abdominal tenderness
	Abdominal distention

Sepsis of Unknown Origin

Organ System	Findings
Vital Signs	Fever
	Tachycardia
	Tachypnea
	Hypotension
	Weak peripheral pulses
Skin	Pallor
	Cyanosis
HEENT	Dry mucous membranes
	Lymphadenopathy
	Papilledema on fundoscopic exam
Neurologic	Altered mental status
	Motor and sensory focal neurologic signs
Abdominal	Abdominal tenderness

Central Nervous System Infection

Organ System	Findings
Vital Signs	Fever
	Tachycardia
	Tachypnea
	Hypotension
	Weak peripheral pulses
Skin	Pallor
	Skin rash
HEENT	Bulging fontanelles may be present (neonates)
	Papilledema on fundoscopic exam
	Neck stiffness may be present (typically absent in neonates)
Neurologic	Altered mental status
	Motor and sensory focal neurologic signs
	Autonomic dysfunction may be present
	Hemiparesis may be present
	Ataxia may be present
	Dystonia may be present