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Measuring Bacterial Load and Immune Responses in Mice Infected with Listeria monocytogenes
Published on: August 9, 2011
Listeria monocytogenes meningitis in immunocompetent children: A retrospective single-centre study
Zeynep Gokce Gayretli Aydin1, Nihal Yıldız2
1Faculty of Medicine, Department of Pediatrics, Division of Pediatric Infectious Diseases, Karadeniz Technical University, Trabzon, Turkey.
Insights
Listeria monocytogenes meningitis is rare in healthy children but can occur. This study highlights the importance of considering this infection even without typical risk factors in pediatric cases.
Area of Science:
- Pediatric Infectious Diseases
- Neurology
- Microbiology
Background:
- Listeria monocytogenes meningitis typically affects vulnerable populations.
- Infections in immunocompetent children are infrequently reported and considered unusual.
Purpose of the Study:
- To analyze cases of Listeria monocytogenes meningitis in immunocompetent children.
- To identify clinical features, diagnostic findings, and treatment responses in this population.
Main Methods:
- Retrospective analysis of medical records.
- Inclusion of seven previously healthy children aged 4 months to 15 years.
- Review of clinical courses, laboratory findings, medical imaging, and treatment outcomes.
Main Results:
- Common symptoms included fever, seizures, vomiting, headache, and altered consciousness.
- Cerebral edema signs were noted in three patients; cranial nerve involvement in two.
- Leptomeningeal enhancement on MRI was observed in four patients.
Conclusions:
- Listeria monocytogenes meningitis should be considered in children presenting with meningitis symptoms, even without apparent risk factors.
- Early diagnosis and treatment are crucial for favorable outcomes in pediatric cases.
Objectives:
Listeria monocytogenes meningitis has traditionally been associated with specific vulnerable populations such as newborns, pregnant women, immunosuppressed transplant recipients, and older adults with compromised cell-mediated immunity. Instances involving otherwise healthy children without underlying immunological disorders are infrequently reported and considered unusual.
Methods:
The medical records, clinical courses, laboratory findings, medical imaging, and responses to treatment of immunocompetent children diagnosed with Listeria monocytogenes meningitis were retrospectively analyzed.
Results:
The study included seven previously healthy children aged 4 months to 15 years. Common onset symptoms included fever, seizures, vomiting, headache, and altered consciousness. Radiological evaluation revealed signs consistent with cerebral oedema in three patients, based on T2 and fluid-attenuated inversion recovery (FLAIR) hyperintensities and loss of grey-white differentiation, although brain oedema cannot be definitively confirmed without histopathological correlation. In addition, two patients exhibited clinical signs of cranial nerve involvement, specifically abducens nerve palsy. Magnetic resonance imaging demonstrated leptomeningeal contrast in four patients, with one showing brain stem involvement. None had recognized immunodeficiencies.
Conclusions:
This study underscores the importance of considering Listeria monocytogenes meningitis even in the absence of underlying risk factors.
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