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Int J Surg Case Rep. 2012;3(9):448-50. doi: 10.1016/j.ijscr.2012.05.012. Epub 2012 Jun 1.

Listeria septicaemia following insertion of a dynamic hip screw: A case report and literature review.

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1
Academic FY2, Leicester Royal Infirmary, Leicester, LE1 5WW, UK.

Abstract

INTRODUCTION:

Listeria monocytogenes is a food borne bacterial pathogen which is rarely encountered in the United Kingdom. This rare and potentially life threatening infection has a high mortality rate and therefore requires early antimicrobial intervention.

PRESENTATION OF CASE:

A case report of a patient who developed Listeria septicaemia following insertion of a dynamic hip screw is described. This 84 year old immunocompromised lady had a mechanical fall at home, from which she sustained a left neck of femur fracture. She had a background of rheumatoid arthritis, and for the last 10 years had been taking 5mg prednisolone daily. After early surgical intervention with a dynamic hip screw, she developed Listeria septicaemia, following which she was treated successfully with ampicillin and gentamicin.

DISCUSSION:

Infection with unusual pathogens is not uncommon amongst immunocompromised patients. Regardless of the cause, this cohort of patients' requires increased post operative surveillance to ensure that such a complication does not go unnoticed.

CONCLUSION:

This case report demonstrates the importance of having a low threshold for investigation in immunocompromised patients whilst also stressing the significance of early diagnosis and intervention.

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