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
Febrile Gastroenteritis
Appearance of the Patient
A patient with listeriosis will likely appear ill, complaining of fever, "body pain" and chills. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease.
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Strength
- The pulse may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Pallor may be present
Throat
- Mucous membranes may be dehydrated
Abdomen
- Abdominal distention may be present
- Abdominal tenderness may be present
Infection in Pregnancy
Pregnant women with listeriosis often present with flu-like symptoms. Unborn infants sustain the most severe complications, such as fetal death, stillbirth or meningitis.[1]
Sepsis of Unknown Origin
Vitals
Temperature
- A fever is often present
- Hypothermia may be present
Pulse
Rate
- Tachycardia is often present
Strength
- Peripheral pulses may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
Throat
- Mucous membranes may be dehydrated
Neck
- Lymph nodes may be present
Abdomen
- Abdominal tenderness may be present
Extremities
- Cyanosis may be present
Neurologic
- Mental status may be altered
CNS Infection
Meningoencephalitis
Appearance of the Patient
A patient with listeriosis will likely appear ill, complaining of fever, "body pain" and chills. Depending on the previous health status of the patient, the initial presentation may change, since this is an important factor in the evolution of the disease.
Vitals
Temperature
- A fever is often present
Pulse
Rate
- Tachycardia may be present
Strength
- The pulse may be weak
Blood Pressure
- Hypotension may be present
Respiratory Rate
- Tachypnea may be present
Skin
- Pallor may be present
Neurologic
- Mental status may be altered
- Coma may be present
- Seizures may be present
- Focal neurologic signs may be present