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

Appearance of the Patient

A patient with listeriosis typically appears ill

Vital Signs

• Fever
• Tachycardia
• Tachypnea
• Hypotension

Skin

• Pallor may be present

HEENT

• Dehydrated mucus membranes

Abdomen

• Abdominal distention
• Abdominal tenderness

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
Abdominal	Abdominal tenderness
Neurologic	Altered mental status
	Motor and sensory focal neurologic signs

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