Work

A Twist in the Tale: The Unmasking of Listeria in a PMR Case

Year: 2025

Type: article

Abstract: ABSTRACT In general, an older patient presenting with proximal muscle pain and fatigue, with elevated inflammatory markers, would generally result in an extensive evaluation. If this is negative, it would be reasonable for a diagnosis of polymyalgia rheumatica (PMR) to be made and the patient referred to rheumatology. Our patient presented myalgia in proximal muscles and an elevated sedimentation rate. He was treated with steroids for polymyalgia rheumatica with improvement. He was subsequently admitted to the intensive care unit (ICU), where a diagnosis of Listeria monocytogenes sepsis was made and treated. With antibiotics he improved and was discharged from the hospital. This Case Report underscores the importance of considering unusual infections when entertaining a systemic autoimmune rheumatic disease (SARD) as the cause of systemic inflammatory response syndrome.

Source: Clinical Case Reports

DOI: 10.1002/ccr3.71765

Authors: Ghassan Al‐Qaysi, Viswaja Kaja, Rishitha Anumola, Adegbenga Bankole

Institutions: Carilion Roanoke Memorial Hospital, Carilion Clinic, Virginia Tech

Language: English

Topic: Vasculitis and related conditions

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,820