Microbiology · MU Sofia

69. Genus Listeria - L. monocytogenes

Covers the general features of Listeria monocytogenes, including its tumbling motility at room temperature, weak beta-haemolysis and natural habitats. It then sets out a table of virulence factors such as internalins, listeriolysin O, phospholipases and ActA, followed by a stepwise account of pathogenesis from food entry to cell-to-cell spread. Epidemiology, a table of clinical forms by population group, diagnostic features, first-line and alternative treatment, and food-related prevention advice close the note.

Inside: 9 sections · 4 labelled pictures · 2 tables · 14 flashcards · 2 min

Topic 69 of 113 in the MU Sofia syllabus for Microbiology (Medicine, Year 3). The free AceMed note covers it in 9 sections, about 182 words (2 min of reading), with 14 flashcards.

In this note

  1. Genus Listeria – Listeria monocytogenes
  2. General Characteristics
  3. Virulence Factors
  4. Pathogenesis
  5. Epidemiology
  6. Diseases
  7. Diagnosis
  8. Treatment
  9. Prevention

General Characteristics

  • Morphology: Small, Gram-positive coccobacilli
  • Motility: Motile at room temperature (tumbling motility), non-motile at 37°C
  • Metabolism: Facultative anaerobe
  • Spore forming: Non-spore forming
  • Catalase: Positive
  • Haemolysis: Weak β-haemolysis on blood agar
  • Habitat: Widely found in soil, water, plants, and animal feces

Pathogenesis

  1. 1. Entry: Ingested via contaminated food
  2. 2. Invasion: Internalins mediate entry into M cells and epithelial cells
  1. 3. Phagosome escape: Listeriolysin O and phospholipases destroy phagosome membrane
  2. 4. Intracellular survival: Uses host actin (via ActA) to move through cytoplasm
  3. 5. Cell-to-cell spread: Propels into adjacent cells, avoiding extracellular immune detection

Epidemiology

  • Source: Unpasteurised milk, cheese, undercooked meat, raw vegetables (especially cabbage)
  • At-risk groups:
  • Pregnant women (transplacental transmission)
  • Neonates (early or late onset disease)
  • Elderly and immunocompromised

Diagnosis

  • Blood or CSF culture
  • Microscopy: G+ rods, weak β-haemolysis
  • CSF: ↑ monocytes (monocytosis)
  • Motility: Demonstrated at room temperature in semi-solid media
  • Serological tests: Unreliable

Treatment

  • First line: Penicillin or ampicillin
  • Severe cases: Combination with gentamicin
  • Alternatives (penicillin allergy): Trimethoprim-sulfamethoxazole

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