Listeriosis is a
bacterial infection most commonly caused by
Listeria monocytogenes, although
L. ivanovii and
L. grayi have been reported in certain cases.
Listeria primarily causes infections of the
central nervous system (
meningitis,
meningoencephalitis,
brain abscess,
cerebritis) and
bacteremia in those who are
immunocompromised, pregnant women, and those at the extremes of age (newborns and the elderly), as well as
gastroenteritis in healthy persons who have been severely infected.
Listeria is ubiquitous and is primarily transmitted via the oral route after ingestion of contaminated food products, after which the organism penetrates the intestinal tract to cause systemic infections. The diagnosis of listeriosis requires the isolation of the organism from the blood and/or the cerebrospinal fluid. Treatment includes prolonged administration of antibiotics, primarily ampicillin and gentamicin, to which the organism is usually susceptible.