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Updated: Jun 30, 2026

05:02
Listeria monocytogenes Infection of the Brain
Published on: October 2, 2018
[Listeriosis - four case reports]
J Pazderková1, P Dlouhý, M Stolbová
1Infekcní oddelení, Masarykova nemocnice v Ustí nad Labem. jana.pazderkova@mnul.cz
Klinicka Mikrobiologie a Infekcni Lekarstvi
|September 30, 2008
Summary
This study reports four cases of Listeria infection, primarily meningitis and sepsis, in patients over 55 during a 2006/2007 outbreak. Early diagnostic tests were negative, highlighting the importance of blood and cerebrospinal fluid cultures for accurate Listeria diagnosis.
Area of Science:
- Infectious Diseases
- Microbiology
- Epidemiology
Background:
- Listeria infection outbreaks pose significant public health challenges, particularly in vulnerable populations.
- Prompt and accurate diagnosis is crucial for effective treatment and management of Listeria infections.
Observation:
- Four cases of Listeria infection were observed during an epidemic outbreak in 2006/2007.
- Patients were hospitalized with purulent meningitis (3 cases) or sepsis (1 case), all over 55 years old.
- Initial diagnostic methods including direct microscopy, latex agglutination, and PCR on cerebrospinal fluid (CSF) were negative in meningitis cases.
Findings:
- Blood and CSF cultures confirmed Listeria infection 3-4 days post-collection, establishing the final diagnosis.
- None of the patients presented with diarrhea, a common symptom of listeriosis.
- Successful treatment was achieved using ampicillin and chloramphenicol.
Implications:
- The study underscores the limitations of rapid diagnostic tests for Listeria meningitis and emphasizes the critical role of blood and CSF cultures.
- Findings highlight the need for heightened surveillance and diagnostic vigilance for Listeria, especially in elderly and potentially immunocompromised individuals.
- Effective treatment regimens involving ampicillin and chloramphenicol were demonstrated, offering valuable therapeutic insights.
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