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[Rhombencephalitis caused by Listeria monocytogenes]
1Neurologische Klinik, Städtischen Klinikums Karlsruhe.
Abstract:
We report the case of a 57-year-old man with Listeria rhombencephalitis. This had been ascertained by means of Listeria isolation from the cerebrospinal fluid. After an nonspecific prodromial period with nausea and headache, he developed fever, meningism, brain stem dysfunction and an organic psychosis. With early antibiotic therapy (ampicillin/gentamycin), it was possible to bring about a restitio ad integrum. Different brain-imaging methods (computed tomography, MRI, brain SPECT) in the acute and follow-up stages are discussed.
Insights
Early antibiotic treatment for Listeria rhombencephalitis, a brainstem infection, led to a full recovery in a 57-year-old man. Diagnosis was confirmed by cerebrospinal fluid analysis.
Area of Science:
- Neurology
- Infectious Diseases
- Medical Case Reports
Background:
- Listeria rhombencephalitis is a rare but serious infection affecting the brainstem.
- Early diagnosis and treatment are crucial for patient outcomes.