• Internal medicine · Jan 2021

    Review Case Reports

    Listeria monocytogenes Ankle Osteomyelitis in a Patient with Rheumatoid Arthritis on Adalimumab: A Report and Literature Review of Listeria monocytogenes Osteomyelitis.

    • Takafumi Kubota, Yuichiro Mori, Gen Yamada, Ivor Cammack, Toshiya Shinohara, Suguru Matsuzaka, and Tetsuya Hoshi.
    • Department of General Internal Medicine, Teine Keijinkai Hospital, Japan.
    • Intern. Med. 2021 Jan 1; 60 (19): 317131763171-3176.

    AbstractLocalized Listeria infection predominantly occurs in the prosthetic and hip joints. We herein report a case of Listeria monocytogenes ankle osteomyelitis in a 73-year-old man receiving adalimumab who was transferred to our hospital because of suspected rheumatoid arthritis (RA) flare. He reported a four-month history of left ankle swelling. A surgical biopsy revealed L. monocytogenes osteomyelitis in the left tibia and talus bones. The patient was successfully treated with antibiotics and surgical debridement. Thus, infection due to L. monocytogenes can present as ankle osteomyelitis in immunocompromised patients and may mimic an RA flare.

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