Listeriosis
(Listeria monocytogenes)
Material: | Septic listeriosis: Blood culture PCR: EDTA-blood (external service) Listeriosis of the CNS: CSF Local listeriosis: Puncture specimen, exudate, swabs Newborn listeriosis: Blood cultures, CSF, meconium/stool, amniotic fluid, swabs (navel, ENT) Stool: Only advisable in case of outbreak (5 % healthy carriers), then with cold enrichment up to 3 weeks |
Methods: |
Kulturelle Untersuchungen → aerober Atmosphäre Amplifikationsverfahren → Real-time-PCR | Criteria for evaluation | PCR: < 80 cfU/ml |
Indication | Differential diagnosis of gastroenteritis, meningitis or meningoencephalitis, septicemia, endocarditis | Mandatory reporting | ja The health authority will be informed about direct demonstration of listeria monocytogenes from blood, CSF or other usually sterile substrates as well as from swabs of newborns, and will be given the patient’s name in accordance with §7 IfSG. Reporting obligation also applies in case of local and temporal accumulation. |
Please note | Listeriosis is a foodborne infectious disease, mainly caused by milk products (raw milk, soft cheese from raw milk) and raw food products (salad), but also smoked fish or meats (salami). Incubation period usually is 3 weeks. in immunocompetent persons the disease rarely develops, often there is an uncharacteristic febrile reaction or a self-limiting gastroenteritis; Immunocompromised persons: Septicemia, meningitis, meningoencephalitis; Newborns: Early onset: Prenatally acquired, septic premature birth, granulomatosis infantiseptica; Late onset: Perinatally acquired, especially meningitis Pregnant women and immunocompromised persons should avoid risky food products (raw milk products) as far as possible and under no circumstances keep raw risk foods in the refrigerator for longer periods. Further information can be found at www.rki.de |
External services | ja MVZ Prof. Dr. med. Gisela Enders & Kollegen Stuttgart |
Accredited | ja |
More Results for the letter L
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- LH (LH)
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