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Listeria monocytogenes bacteremia mimicking the systemic metastasis of adrenal cancer : a case report
Title: | Listeria monocytogenes bacteremia mimicking the systemic metastasis of adrenal cancer : a case report |
Authors: | Hatakeyama, Yuki Browse this author | Nakakubo, Sho Browse this author | Kusaka, Hirotaka Browse this author | Watanabe, Naomi Browse this author | Yoshida, Yukinori Browse this author | Shinzaki, Hitoshi Browse this author | Hiroumi, Hiromitsu Browse this author | Kishida, Naoki Browse this author | Konno, Satoshi Browse this author →KAKEN DB |
Keywords: | Listeria monocytogenes | Adrenal gland | Abscess | Cancer | Case report |
Issue Date: | 15-Oct-2022 |
Publisher: | BioMed Central |
Journal Title: | BMC infectious diseases |
Volume: | 22 |
Issue: | 1 |
Start Page: | 789 |
Publisher DOI: | 10.1186/s12879-022-07771-y |
Abstract: | Background Listeria monocytogenes is a causative agent of food poisoning and is also known to cause invasive diseases, such as bacteremia, meningitis, and encephalitis, in neonates, elderly and immunocompromised patients. However, the clinical course of a multi-organ disseminated disease secondary to bacteremia has been rarely reported. Case presentation A 76-year-old woman undergoing immunosuppressive therapy for rheumatoid arthritis presented to our outpatient clinic with a chief complaint of weight loss. Computed tomography showed a left adrenal mass, enlarged lymph nodes, and multiple intrahepatic nodules. Positron emission tomography demonstrated accumulation of fluorodeoxyglucose F18 in the adrenal mass, lymph nodes, hepatic nodules, and bones, leading to the suspicion of systemic metastasis of adrenal cancer. She subsequently developed a fever. Blood culture results led to the diagnosis of Listeria monocytogenes bacteremia. Percutaneous needle biopsy of the adrenal lesion revealed no malignant findings. After extended treatment with antimicrobial agents, the fever resolved, along with the disappearance of the systemic lesions. Conclusions This case shows that listeriosis can lead to lesions in the adrenal gland, which can exhibit clinical presentation that is difficult to differentiate from malignancy on imaging studies. |
Type: | article |
URI: | http://hdl.handle.net/2115/87371 |
Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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