Genotypic versus phenotypic methods in detection of Listeria monocytogenes prosthetic joint infection

Authors

ŽALOUDÍKOVÁ Barbora KELBL Martin PAŠA Libor FREIBERGER Tomáš

Year of publication 2009
Type Article in Periodical
Magazine / Source Journal of Medical Microbiology
MU Faculty or unit

Faculty of Medicine

Citation
Field Epidemiology, infectious diseases and clinical immunology
Keywords PCR; 16S rRNA; Listeria monocytogenes; prosthetic joint infection
Description An uncommon case of a severe prosthetic joint infection (PJI) in a 71-year-old immunocompetent woman is presented. Listeria monocytogenes was identified in two consecutive samples using broad-range PCR and sequencing, whereas cultivation remained negative in the first sample and streptococci of a non-GAS, non-GBS type were detected in the second one. This report demonstrates that the phenotypic approach may lead to misidentification of L. monocytogenes in a routine clinical setting. Molecular methods of pathogen detection might be useful when a rare and/or unexpected microorganism is present or the sample is collected during antibiotic treatment.

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