Intracerebral activity of antibiotics against Listeria monocytogenes during experimental rhombencephalitis
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Updated: Oct 18, 2026

Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
S Blanot1, C Boumaila, P Berche
1INSERM U.411, Laboratoire de Microbiologie, Faculté de Médecine Necker-Enfants Malades 156, Paris, France.
Abstract:
We used a model of rhombencephalitis in gerbils to test the efficacy of various antibiotics against Listeria monocytogenes. Gerbils were inoculated in the middle ear with strain EGD and treated subcutaneously with various antibiotics alone or in combination. We found that the most active antibiotics on intracerebral bacteria were amoxycillin, co-trimoxazole, rifampicin and imipenem. Vancomycin, gentamicin and ciprofloxacin were weakly or not active. The combinations amoxycillin-co-trimoxazole, amoxycillin-gentamicin and co-trimoxazole-rifampicin were highly active against intracerebral bacteria.
Insights
Amoxicillin, co-trimoxazole, rifampicin, and imipenem show promise against Listeria monocytogenes rhombencephalitis in gerbils. Combinations like amoxicillin-co-trimoxazole were highly effective in this animal model.
Area of Science:
- Infectious Diseases
- Microbiology
- Pharmacology
Background:
- Listeria monocytogenes can cause rhombencephalitis, a serious infection affecting the brainstem.
- Effective antibiotic treatment is crucial for managing Listeria monocytogenes infections, particularly those affecting the central nervous system.
Purpose of the Study:
- To evaluate the efficacy of various antibiotics against Listeria monocytogenes in a gerbil model of rhombencephalitis.
- To identify antibiotics and combinations with significant activity against intracerebral Listeria monocytogenes.
Main Methods:
- Gerbils were infected with Listeria monocytogenes strain EGD via middle ear inoculation.
- Animals received subcutaneous treatment with individual antibiotics or antibiotic combinations.
- Antibiotic efficacy was assessed by measuring activity against intracerebral bacteria.
Main Results:
- Amoxicillin, co-trimoxazole, rifampicin, and imipenem demonstrated the most significant activity against intracerebral Listeria monocytogenes.
- Vancomycin, gentamicin, and ciprofloxacin showed limited or no activity.
- Combinations of amoxicillin-co-trimoxazole, amoxicillin-gentamicin, and co-trimoxazole-rifampicin exhibited high efficacy against intracerebral bacteria.
Conclusions:
- Certain antibiotics, including amoxicillin, co-trimoxazole, rifampicin, and imipenem, are effective against Listeria monocytogenes in a central nervous system infection model.
- Specific antibiotic combinations show enhanced activity, suggesting potential therapeutic strategies for rhombencephalitis.
- This study provides valuable insights into antibiotic selection for treating Listeria monocytogenes-induced rhombencephalitis.
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