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

J Med Microbiol. 2009 Jun;58(Pt 6):829-831. doi: 10.1099/jmm.0.006106-0.

Abstract

A rare case of a severe prosthetic joint infection 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 for the first sample and streptococci of a non-group A streptococci, non-group B streptococci type were detected for 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 micro-organism is present or the sample is collected during antibiotic treatment.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Aged
  • Culture Media
  • DNA, Bacterial / analysis
  • Female
  • Genotype
  • Humans
  • Knee Prosthesis / microbiology*
  • Listeria monocytogenes / classification*
  • Listeria monocytogenes / genetics
  • Listeria monocytogenes / isolation & purification*
  • Listeria monocytogenes / physiology
  • Listeriosis / diagnosis*
  • Listeriosis / microbiology
  • Phenotype
  • Polymerase Chain Reaction
  • Prosthesis-Related Infections / diagnosis*
  • Prosthesis-Related Infections / microbiology
  • Sequence Analysis, DNA

Substances

  • Culture Media
  • DNA, Bacterial