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Listeriosis - Symptom

Symptoms:

In infants, symptoms of listeriosis may be seen in the first few days of life and may include:

  • Loss of appetite
  • Lethargy
  • Jaundice
  • Vomiting
  • Respiratory distress (usually pneumonia)
  • Shock
  • Skin rash
  • Increased pressure inside the skull (due to meningitis) possibly causing suture separation

Late-appearing infection in the infant (symptoms appear age 5 days or older) and infection in children is often seen as meningitis.

In adults, the disease may take many forms depending on what organ or organ systems are infected. It may occur as meningitis, pneumonia, septicemia, and endocarditis, or in milder form as abscesses, skin lesion, and conjunctivitis.

If a pregnant woman becomes infected, it can lead to:

  • Stillbirth
  • Death of a newborn within a few hours of birth

Signs and tests:

Laboratory tests may be done to detect the bacteria in amniotic fluid, blood, feces, and urine. A CSF culture may be performed.

Note: There is no way, without testing, to know if meningitis is due to listeria or another cause.

  • Reviewed last on: 8/28/2009
  • Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Lorber B. Listeriosis. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier. 2007: chap 316.

Centers for Disease Control and Prevention (CDC). Preliminary FoodNet Data on the Incidence of Infection with Pathogens Transmitted Commonly Through Food -- 10 States. MMWR Morb Mortal Wkly Rep. 2009;58(13);333-337.

Centers for Disease Control and Prevention (CDC). Diagnosis and management of foodborne illnesses: a primer for physicians and other health care professionals. MMWR Morb Mortal Wkly Rep. 2004;53(RR-4);1-33.

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