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Listeria monocytogenes meningitis.

J A Wilkinson, R F Keate

    Annals of Emergency Medicine
    |June 1, 1984
    PubMed
    Summary

    This case study highlights a healthy adult successfully treated for Listeria monocytogenes meningitis. Prompt diagnosis and appropriate antibiotic therapy led to a full recovery, emphasizing effective treatment strategies for this infection.

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    Area of Science:

    • Infectious Diseases
    • Neurology
    • Microbiology

    Background:

    • Listeria monocytogenes meningitis is a serious infection, particularly concerning in immunocompromised individuals.
    • While less common, it can occur in healthy individuals, necessitating prompt recognition and treatment.

    Observation:

    • A previously healthy 42-year-old male presented with meningitis.
    • Initial empiric treatment with intravenous penicillin was administered post-lumbar puncture.

    Findings:

    • Causative organism identified as Listeria monocytogenes.
    • Treatment was adjusted to ampicillin and gentamicin, resulting in clinical improvement.
    • The patient had no identifiable underlying predisposition to infection.

    Implications:

    • This case underscores the importance of considering Listeria monocytogenes in meningitis, even in healthy patients.
    • Treatment strategies involving ampicillin and gentamicin appear effective.
    • The findings may inform empiric antibiotic choices for suspected bacterial meningitis.

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