Mm. Mccambridge et al., LISTERIA-MONOCYTOGENES INFECTION IN A PATIENT TREATED WITH METHOTREXATE FOR RHEUMATOID-ARTHRITIS, Journal of rheumatology, 22(4), 1995, pp. 786-787
We describe a patient with rheumatoid arthritis who developed bacterem
ia from Listeria monocytogenes after treatment with low dose oral puls
e methotrexate. We discuss possible immunologic mechanisms for suscept
ibility to Listeria infections. As the elderly population increases wi
th more frequent use of immunosuppressive medications, clinical suspic
ion must be maintained to correctly diagnose and treat infections such
as Listeria.