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7 : Listeriosis

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Abstract:

Epidemiologic studies of outbreaks and sporadic cases of listeriosis have increased the understanding of important sources of in human illnesses and have conclusively shown that both epidemic and sporadic illness are due primarily to foodborne transmission. Improved laboratory techniques for detection and subtyping of have also contributed to our understanding of the epidemiology of human listeriosis. Clinical syndromes associated with infection with are tabulated in this chapter. The chapter briefly reviews the biology of the organism, manifestations of the illness in humans, and the historical background of listeriosis in the United States. It concludes with brief remarks on diagnosis, treatment, and prevention strategies. The link between listeriosis and cancer, particularly lymphoreticular malignancies, was first reported in 1967 and confirmed in subsequent reports. The major consequences of listeriosis during pregnancy are fetal loss and neonatal disease. Due to the potential adverse outcomes of maternal listeriosis and the availability of effective treatment, it is prudent to evaluate all febrile episodes during pregnancy with blood cultures. Since many immunosuppressed patients have a decreased ability to clear infected cells, antibiotic treatment for 3 to 6 weeks may be prudent. Trimethoprim-sulfamethoxazole drug combination has proved effective in patients with listeriosis who have hypersensitivity to penicillin. Understanding of the epidemiology of listeriosis has recently been enhanced by subtyping methodologies that have clarified links among strains infecting patients and those found in contaminated foods.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Figure 1.

Incidence of listeriosis at active surveillance sites in the United States, by year, 1986 to 1998.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Image of Figure 2.
Figure 2.

Incidence of listeriosis at active surveillance sites in the United States, by age group, 1994 to 1998.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Image of Figure 3.
Figure 3.

Incidence of listeriosis at active surveillance sites in the United States, by ethnicity or race, by year, 1994 to 1998.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Image of Figure 4.
Figure 4.

Incidence of perinatal listeriosis at active surveillance sites in the United States, by year, 1989 to 1998.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Image of Figure 5.
Figure 5.

Reported underlying causes in patients ( = 97) with nonperinatal listeriosis, active surveillance sites in the United States 1994 to 1998. CHF, congestive heart failure; ASCVD, atherosclerotic cardiovascular disease; COPD, chronic obstructive pulmonary disease. “Other” includes a variety of conditions such as parenteral drug use, endocrine deficiencies, penetrating trauma, and postsurgical complications.

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
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Tables

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Table 1.

Clinical syndromes associated with infection with

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7
Generic image for table
Table 2.

Food-borne outbreaks of invasive listeriosis

Citation: Slutsker L, Evans M, Schuchat A. 2000. Listeriosis, p 83-106. In Scheld W, Craig W, Hughes J (ed), Emerging Infections 4. ASM Press, Washington, DC. doi: 10.1128/9781555816971.ch7

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