Listeriosis differential diagnosis
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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
Listeriosis is associated with different clinical syndromes; therefore, it should be differentiated from a wide range of diseases. Differential diagnoses of listeriosis include febrile gastroenteritis, parenchymal brain infections, subcortical brain abscesses, and fever during the last trimester of pregnancy.[1]
Differential Diagnosis
The diagnosis of listeriosis should be considered in the following cases:[1]
- Febrile gastroenteritis from foodborn outbreaks, with unidentified pathogen by routine cultures
- Fever during the 3rd trimester of pregnancy
- Neonatal sepsis or meningitis
- Parenchymal brain infections or meningitis in the following patients:
- HIV
- Hematological malignancies
- History of organ transplant
- Treatment with corticosteroids
- Adults older than 50 years of age
- Concomitant meningeal infection and parenchymal brain infection
- Subcortical brain abscess