Co-infection with Streptococcus pneumoniae and Listeria monocytogenes in an immunocompromised patient

A 34-year-old HIV-positive man with a history of chronic substance abuse was admitted with dual infection of Streptococcus pneumoniae and Listeria monocytogenes. Combined bacteraemia with S. pneumoniae and L. monocytogenes is very rare. To the best of our knowledge, this is the first such case docum...

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Bibliographic Details
Published inSouth African medical journal Vol. 108; no. 5; pp. 386 - 388
Main Authors Bamford, C., Opperman, C.J.
Format Journal Article
LanguageEnglish
Published South Africa Health and Medical Publishing Group (HMPG) 01.05.2018
Health & Medical Publishing Group
Subjects
Azithromycin
Case studies
Ceftriaxone
Diagnosis
Dosage and administration
Drug therapy
Listeriosis
Pneumococcal pneumonia
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Summary:A 34-year-old HIV-positive man with a history of chronic substance abuse was admitted with dual infection of Streptococcus pneumoniae and Listeria monocytogenes. Combined bacteraemia with S. pneumoniae and L. monocytogenes is very rare. To the best of our knowledge, this is the first such case documented at our institution and in South Africa. Ampicillin should be added to antibiotic regimens to improve patient outcome if L. monocytogenes infection is suspected. Co-infections that occur with L. monocytogenes may have conflicting antibiotic treatment options. This case report emphasises the need for a good relationship between the local microbiology pathologist and physician to select appropriate antibiotic treatment before definitive results are available.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0256-9574
2078-5135
DOI:10.7196/SAMJ.2018.v108i5.12957