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Volume 13
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10.3390/microorganisms13102262
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Review

Vascular Graft Infections Due to Listeria spp.: A Comprehensive Review of the Literature

by
Tommaso Lupia
1,*,
Marco Casarotto
2,
Gianfranco Fonte
3,
Saverio Marena
3,
Francesca Paola Giunta
4,
Fabrizio Buffolo
2,
Silvia Corcione
2,5 and
Francesco Giuseppe De Rosa
2
1
Department of Medical Sciences, University of Turin, 10126 Turin, Italy
2
Unit of Infectious Disease, University Hospital Città della Salute e della Scienza di Torino, 10100 Turin, Italy
3
Internal Medicine Day Hospital, University Hospital Città della Salute e della Scienza di Torino, 10100 Turin, Italy
4
Division of Nuclear Medicine, University Hospital Città della Salute e della Scienza di Torino, 10100 Turin, Italy
5
Division of Geographic Medicine, Tufts University School of Medicine, Boston, MA 02111, USA
*
Author to whom correspondence should be addressed.
Microorganisms 2025, 13(10), 2262; https://doi.org/10.3390/microorganisms13102262
Submission received: 24 August 2025 / Revised: 10 September 2025 / Accepted: 24 September 2025 / Published: 26 September 2025
(This article belongs to the Special Issue Clinical Microbial Infection and Antimicrobial Resistance: Second Edition)
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Abstract

Vascular graft infections are rare but serious complications of vascular surgery. Listeria monocytogenes represents an exceedingly rare yet potentially life-threatening cause. We present a narrative review according to the Scale for the Assessment of Narrative Review Articles (SANRA) criteria, summarizing the existing literature regarding Listeria vascular graft infections. Moreover, we have revised novel potential antibiotics against Listeria spp. A systematic search identified 23 studies involving 39 patients. Most infections affected abdominal aortic grafts (50%), with a median interval of 28 months from graft implantation to infection. Common comorbidities included hypertension (30.8%) and diabetes (18%), with 24% of patients being immunocompromised. Diagnosis was supported by blood cultures (45%) and imaging, particularly computed tomography (CT, 90%) and positron emission tomography CT (PET-CT) in selected cases. Surgical intervention was performed in 55% of patients, while 45% were treated medically. Ampicillin, often combined with an aminoglycoside, was the most common first-line therapy. Median treatment duration was 51 days, with some patients requiring lifelong suppressive antibiotic therapy. Mortality was low (one patient), and no recurrences were reported. This review underscores the diagnostic complexity and evolving management strategies in Listeria spp. vascular graft infections.
Keywords: Listeria; prosthetic infection; vascular graft; listeriosis Listeria; prosthetic infection; vascular graft; listeriosis

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MDPI and ACS Style

Lupia, T.; Casarotto, M.; Fonte, G.; Marena, S.; Giunta, F.P.; Buffolo, F.; Corcione, S.; De Rosa, F.G. Vascular Graft Infections Due to Listeria spp.: A Comprehensive Review of the Literature. Microorganisms 2025, 13, 2262. https://doi.org/10.3390/microorganisms13102262

AMA Style

Lupia T, Casarotto M, Fonte G, Marena S, Giunta FP, Buffolo F, Corcione S, De Rosa FG. Vascular Graft Infections Due to Listeria spp.: A Comprehensive Review of the Literature. Microorganisms. 2025; 13(10):2262. https://doi.org/10.3390/microorganisms13102262

Chicago/Turabian Style

Lupia, Tommaso, Marco Casarotto, Gianfranco Fonte, Saverio Marena, Francesca Paola Giunta, Fabrizio Buffolo, Silvia Corcione, and Francesco Giuseppe De Rosa. 2025. "Vascular Graft Infections Due to Listeria spp.: A Comprehensive Review of the Literature" Microorganisms 13, no. 10: 2262. https://doi.org/10.3390/microorganisms13102262

APA Style

Lupia, T., Casarotto, M., Fonte, G., Marena, S., Giunta, F. P., Buffolo, F., Corcione, S., & De Rosa, F. G. (2025). Vascular Graft Infections Due to Listeria spp.: A Comprehensive Review of the Literature. Microorganisms, 13(10), 2262. https://doi.org/10.3390/microorganisms13102262

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