Rhombencephalitis by Listeria monocytogenes in a cirrhotic patient: a case report and literature review



Título del documento: Rhombencephalitis by Listeria monocytogenes in a cirrhotic patient: a case report and literature review
Revista: Annals of hepatology
Base de datos: PERIÓDICA
Número de sistema: 000415674
ISSN: 1665-2681
Autores: 1
1
1
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2
2
Instituciones: 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
Año:
Periodo: Sep-Oct
Volumen: 12
Número: 5
Paginación: 830-833
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Caso clínico, descriptivo
Resumen en inglés 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
Disciplinas: Medicina
Palabras clave: Diagnóstico,
Gastroenterología,
Microbiología,
Cirrosis hepática,
Inmunosupresión,
Infecciones oportunistas,
Romboencefalitis,
Listeria monocytogenes
Keyword: Medicine,
Diagnosis,
Gastroenterology,
Microbiology,
Liver cirrhosis,
Immunosuppression,
Opportunistic infections,
Rhomboencephalitis,
Listeria monocytogenes
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