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Measuring Bacterial Load and Immune Responses in Mice Infected with Listeria monocytogenes
Published on: August 9, 2011
Brainstem Encephalitis Caused by Listeria monocytogenes
Pengxu Wei1,2, Ruixue Bao3, Yubo Fan1,2
1School of Biological Science and Medical Engineering and Beijing Advanced Innovation Center for Biomedical Engineering, Beihang University, 37# Xueyuan Road, Haidian District, Beijing 100083, China.
Insights
Listeria monocytogenes infections are increasing globally. This review details listerial brainstem encephalitis, a severe condition affecting healthy individuals, and proposes novel pathways for bacterial invasion.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- International outbreaks of *Listeria monocytogenes* are rising.
- Listerial brainstem encephalitis (rhombencephalitis) affects healthy individuals and is difficult to diagnose early.
- This condition has high mortality and significant sequelae in survivors.
Purpose of the Study:
- To review clinical manifestations, pathology, MRI findings, diagnosis, and treatment of listerial brainstem encephalitis.
- To propose potential pathways for *L. monocytogenes* brainstem invasion.
Main Methods:
- Literature review of clinical cases and proposed mechanisms.
- Analysis of diagnostic criteria and treatment strategies.
Main Results:
- *Listeria monocytogenes* can cause severe brainstem encephalitis.
- The trigeminal and vagus nerves are proposed as routes of infection.
- Early diagnosis and antibiotic treatment are crucial for reducing severity.
Conclusions:
- Listerial brainstem encephalitis requires prompt recognition and management.
- Understanding novel invasion pathways can aid in early diagnosis and prevention.
Abstract:
International outbreaks of listerial infections have become more frequent in recent years. Listeria monocytogenes, which usually contaminates food, can cause potentially fatal infections. Listerial cerebritis is a rare disease that is encountered mostly in immunocompromised or elderly patients. However, listerial brainstem encephalitis (mesenrhombencephalitis or rhombencephalitis) is found in persons who were formerly in good health, and recognizing this disease, particularly at its early stages, is challenging. Listerial brainstem encephalitis has high mortality, and serious sequelae are frequently reported in survivors. Early recognition and correct diagnosis, as well as the timely use of appropriate antibiotics, can reduce the severity of listerial infections. The trigeminal nerve is proposed as a pathway through which L. monocytogenes reaches the brainstem after entering damaged oropharyngeal mucosa or periodontal tissues. This review introduces the clinical manifestations, pathology, magnetic resonance imaging (MRI) findings, diagnosis, and treatment of listerial brainstem encephalitis. Moreover, it proposes that L. monocytogenes may also invade the brainstem along the vagus nerve after it infects enteric neurons in the walls of the gastrointestinal tract.
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