| Listeria septicaemia following insertion of a dynamic hip screw: A case report and literature review. | |
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MedLine Citation:
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PMID: 22706298 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Listeria monocytogenes is a food borne bacterial pathogen which is rarely encountered in the United Kingdom. This rare and potentially life threatening infection has a high mortality rate and therefore requires early antimicrobial intervention. PRESENTATION OF CASE: A case report of a patient who developed Listeria septicaemia following insertion of a dynamic hip screw is described. This 84 year old immunocompromised lady had a mechanical fall at home, from which she sustained a left neck of femur fracture. She had a background of rheumatoid arthritis, and for the last 10 years had been taking 5mg prednisolone daily. After early surgical intervention with a dynamic hip screw, she developed Listeria septicaemia, following which she was treated successfully with ampicillin and gentamicin. DISCUSSION: Infection with unusual pathogens is not uncommon amongst immunocompromised patients. Regardless of the cause, this cohort of patients' requires increased post operative surveillance to ensure that such a complication does not go unnoticed. CONCLUSION: This case report demonstrates the importance of having a low threshold for investigation in immunocompromised patients whilst also stressing the significance of early diagnosis and intervention. |
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Authors:
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Shafiq Arif Shahban; Natarajan Manjula; Shabih Siddiqui |
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Publication Detail:
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Type: Journal Article Date: 2012-06-01 |
Journal Detail:
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Title: International journal of surgery case reports Volume: 3 ISSN: 2210-2612 ISO Abbreviation: Int J Surg Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-17 Completed Date: 2012-10-02 Revised Date: 2013-02-27 |
Medline Journal Info:
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Nlm Unique ID: 101529872 Medline TA: Int J Surg Case Rep Country: Netherlands |
Other Details:
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Languages: eng Pagination: 448-50 Citation Subset: - |
Copyright Information:
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Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Academic FY2, Leicester Royal Infirmary, Leicester, LE1 5WW, UK. |
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