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[Brain stem infection caused by Listeria monocytogenes]

E A Antal1, E M Løberg, V B Wyller

  • 1Patologisk anatomisk avdeling, Ullevål sykehus, Oslo.

Insights

Listeria monocytogenes can cause rhombencephalitis, a severe brainstem inflammation. Diagnosis is challenging, as illustrated by a fatal case in a previously healthy teen.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Bacteriology

Background:

  • Rhombencephalitis is a rare but serious inflammation of the brainstem.
  • Listeria monocytogenes is a bacterium that can cause central nervous system infections.

Observation:

  • A previously healthy female teenager presented with symptoms suggestive of rhombencephalitis.
  • The patient experienced a fatal outcome despite medical intervention.

Findings:

  • The case confirmed Listeria monocytogenes as the causative agent of rhombencephalitis.
  • Clinical and laboratory findings alone were insufficient for early diagnosis.

Implications:

  • This case highlights the diagnostic challenges associated with Listeria monocytogenes rhombencephalitis.
  • Understanding the clinical and pathogenetic aspects is crucial for improving patient outcomes.

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