Abstract

CUELLAR, Luis E. et al. Listeria bacteremia in patients from a peruvian oncologic institute, 2005-2015. Rev. perú. med. exp. salud publica [online]. 2021, vol.38, n.1, pp.108-112.  Epub Mar 04, 2021. ISSN 1726-4634.  http://dx.doi.org/10.17843/rpmesp.2021.381.5488.

Listeriosis infection is a severe disease, with high morbidity and mortality in the immunocompromised patient, especially with disseminated and fatal presentations in cancer patients. A descriptive study was developed to describe the clinical and epidemiologic characteristics in oncologic patients with listeriosis in the Instituto Nacional de Enfermedades Neoplásicas between the years 2005-2015. A total of 29 patients were included; 23 (79.3%) of the listeriosis cases showed up in patients with hematological neoplasia, of which 52.1% was acute lymphatic leukemia and 39.1% non-Hodgkin’s lymphoma. The 72.4% of the isolated species correspond to Listeria monocytogenes. Twenty-seven (93.1%) patients met sepsis criteria and twenty-four (82.7%) had neurologic affection. Bacteremia was the most common presentation, followed by meningoencephalitis (20.6%). Global mortality was 75.8%. In conclusion in cancer patients, listeriosis implies high morbidity and mortality. Therefore, the suspicion of this entity is mandatory in onco-hematologic patients with sepsis and acute neurologic symptoms.

Keywords : Listeria; Neoplasms; Bacteremia; Peru.

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