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November 1982

Graft Infection and Bacteremia With Listeria monocytogenes in a Patient Receiving Hemodialysis

Author Affiliations

From the Division of Nephrology and Hypertension, the Department of Medicine (Drs Zeitlin and Carvounis), and the Division of Microbiology, the Department of Pathology (Mr Murphy), the University Hospital, and the Department of Medical Technology, School of Allied Health Professions (Dr Tortora), Health Sciences Center, State University of New York at Stony Brook.

Arch Intern Med. 1982;142(12):2191-2192. doi:10.1001/archinte.1982.00340250157024

• Patients receiving hemodialysis are particularly susceptible to infection. We report a case of Listeria monocytogenes bacteremia and graft infection developing in a patient receiving hemodialysis. Vancomycin hydrochloride therapy was initiated in anticipation of a staphylococcal infection, and continued as the patient's clinical course improved. Ultimately the arteriovenous graft required excision. Identification of the organism and drug susceptibilities are described. To our knowledge, this is the first case report of both an L monocytogenes arteriovenous graft infection and the use of vancomycin in the treatment of this infection.

(Arch Intern Med 1982;142:2191-2192)

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