| Journal: | Annals of hepatology |
| Database: | PERIÓDICA |
| System number: | 000415674 |
| ISSN: | 1665-2681 |
| Authors: | Carrillo Esper, Raúl1 Carrillo Córdova, Luis Daniel1 Espinoza de los Monteros Estrada, Isis1 Rosales Gutiérrez, Agustín Omar1 Uribe, Misael2 Méndez Sánchez, Nahum2 |
| Institutions: | 1Fundación Clínica Médica Sur, Unidad de Cuidados Intensivos, México, Distrito Federal. México 2Fundación Clínica Médica Sur, Unidad de Investigación de Hígado, México, Distrito Federal. México |
| Year: | 2013 |
| Season: | Sep-Oct |
| Volumen: | 12 |
| Number: | 5 |
| Pages: | 830-833 |
| Country: | México |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | We report a case of rhombencephalitis infection by Listeria monocytogenes in a 66-year-old man with cirrhosis. The CSF analysis indicated L. monocytogenes as the most likely pathogen. Blood and CSF culture were positive to L. monocytogenes and MRI findings were suggestive of rhomboencephalitis. The treatment was started empirically and then modified when the culture results were available. The patient had a full clinical recovery without neurologic sequelae. Clinicians should remember that L. monocytogenes most often presents as acute bacterial meningitis, particularly in the elderly, the immunosuppressed, and those with malignancies. L. monocytogenes CNS the infections may present as acute bacterial meningitis, meningoencephalitis, or acute encephalitis |
| Disciplines: | Medicina |
| Keyword: | Diagnóstico, Gastroenterología, Microbiología, Cirrosis hepática, Inmunosupresión, Infecciones oportunistas, Romboencefalitis, Listeria monocytogenes |
| Keyword: | Medicine, Diagnosis, Gastroenterology, Microbiology, Liver cirrhosis, Immunosuppression, Opportunistic infections, Rhomboencephalitis, Listeria monocytogenes |
| Full text: | Texto completo (Ver PDF) |
