Fournier’S Gangrene Caused byListeria Monocytogenesas the Primary Organism

作者:Sayaka, Asahata; Yuji, Hirai; Yusuke, Ainoda; Takahiro, Fujita; Yumiko, Okada; Ken, Kikuchi
来源:Canadian Journal of Infectious Diseases & Medical Microbiology, 2015, 26(1): 44-46.
DOI:10.1155/2015/501386

摘要

<jats:p>A 70-year-old man with a history of tongue cancer presented with Fournier’s gangrene caused by<jats:italic>Listeria monocytogenes</jats:italic>serotype 4b. Surgical debridement revealed undiagnosed rectal adenocarcinoma. The patient did not have an apparent dietary or travel history but reported daily consumption of sashimi (raw fish).</jats:p><jats:p>Old age and immunodeficiency due to rectal adenocarcinoma may have supported the direct invasion of<jats:italic>L monocytogenes</jats:italic>from the tumour. The present article describes the first reported case of Fournier’s gangrene caused by<jats:italic>L monocytogenes</jats:italic>. The authors suggest that raw ready-to-eat seafood consumption be recognized as a risk factor for listeriosis, especially in cases of skin and soft tissue infection.</jats:p>