Listeriosis physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

The findings on the physical examination depend on the clinical manifestation of listeriosis. Common findings include fever, tachycardia, pallor, and abdominal tenderness. Signs of neurological involvement may include altered mental state, paralysis, respiratory failure, and coma.

Physical Examination

The findings on the physical examination depend on the clinical manifestation of listeriosis. Click on the links below for the exact clinical manifestation you are lookig for:

Febrile Gastroenteritis

Organ System Findings
General Appearance Patient is ill-looking
Vital Signs Fever
Tachycardia
Tachypnea
Hypotension
Skin Pallor
HEENT Dry mucous membranes
Neurologic Altered mental status
Motor and sensory focal neurologic signs
Abdominal Abdominal tenderness
Abdominal distention

Sepsis of Unknown Origin

Organ System Findings
Vital Signs Fever
Tachycardia
Tachypnea
Hypotension
Weak peripheral pulses
Skin Pallor
Cyanosis
HEENT Dry mucous membranes
Lymphadenopathy
Papilledema on fundoscopic exam
Neurologic Altered mental status
Motor and sensory focal neurologic signs
Abdominal Abdominal tenderness

Central Nervous System Infection

Organ System Findings
Vital Signs Fever
Tachycardia
Tachypnea
Hypotension
Weak peripheral pulses
Skin Pallor
Skin rash
HEENT Bulging fontanelles may be present (neonates)
Papilledema on fundoscopic exam
Neck stiffness may be present (typically absent in neonates)
Neurologic Altered mental status
Motor and sensory focal neurologic signs
Autonomic dysfunction may be present
Hemiparesis may be present
Ataxia may be present
Dystonia may be present

References

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