Ventriculoperitoneal shunt infection with Listeria innocua

Abstract

Listeria species may cause life-threatening events including meningitis and invasive infection in newborns, pregnant women, older and immunodeficient people. The most common Listeria species that causes infection is L.monocytogenes. It is known that Listeria innocua has no pathogenicity. A 9-month-old baby had ventriculoperitoneal shunt and was treated with adrenocorticotropic hormone because of infantile spasms. He was brought to hospital with fever and vomiting. Upon physical examination, the patient seemed uncomfortable and had a temperature of 38.6 degrees C. Laboratory results were as follows: hemoglobin, 6.7g/dL; leukocyte count, 5420/mm(3); platelet count, 169000/mm(3); and C-reactive protein, 100mg/L (normal <5mg/L). On analysis of cerebrospinal fluid (CSF), leukocyte count was 480/mm(3), protein was 46mg/dL and CSF glucose was 35mg/dL. L.innocua was isolated in CSF culture. We describe this unusual case of ventriculoperitoneal shunt infection with L.innocua.