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Choudhury P, Mohanty S, Reddy Y, Reddy N. A Rare Case of Listeria Meningitis With Spinal Involvement. Pediatr Infect Dis J 2023; 42:e498-e499. [PMID: 37851965 DOI: 10.1097/inf.0000000000004100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2023]
Affiliation(s)
- Prerna Choudhury
- Paediatric Neurology, Rainbow Children's Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Shashwat Mohanty
- Paediatric Intensive Care Unit, Rainbow Children's Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Yeshwanth Reddy
- Paediatric Intensive Care Unit, Rainbow Children's Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Nihaal Reddy
- Paediatric Neuroradiology, Rainbow Children's Hospital, Hyderabad, Telengana, India
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Jiang J, Lv M, Yang K, Zhao G, Fu Y. A case report of diagnosis and dynamic monitoring of Listeria monocytogenes meningitis with NGS. Open Life Sci 2023; 18:20220738. [PMID: 37954099 PMCID: PMC10638841 DOI: 10.1515/biol-2022-0738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 09/01/2023] [Accepted: 09/04/2023] [Indexed: 11/14/2023] Open
Abstract
Listeria monocytogenes (LM) infections of the central nervous system are deadly and have vague symptoms. Traditional cerebro spinal fluid culture has a low positive rate, and because antibiotic use is common following therapy, it is more challenging to assess the response from pathogen content. In this case, a 66-year-old man who had a fever, a headache, and vomit was admitted to the hospital. He had diabetes, decline in thyroid function, and a history of pituitary tumor removal surgery. His initial treatment with ribavirin, ceftriaxone antibiotic, and moxifloxacin did not go well. Using two etiological tests (culture and metagenomic next-generation sequencing [mNGS]), his cerebrospinal fluid tested positively for LM. Ampicillin-sulbactam and meropenem were used as treatments once LM meningitis was identified. After treatment, his cerebrospinal fluid was assessed once more. Culture: negative; targeted next-generation sequencing (tNGS): positive and shows changes in the copy number of the LM. After 44 days of treatment, the patient finally stopped taking antibiotics, and the prognosis was good. Our study showed that mNGS and tNGS, as novel approaches for pathogen detection, are capable of identifying pathogens quickly, sensitively, and accurately, especially when there are few infections present (such as after antibiotic treatment). The two methods can be a powerful assistance for helping clinicians to choose the best course of action.
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Affiliation(s)
- Jiamei Jiang
- Department of Emergency Medicine, Shanghai Jiaotong University Affiliated Sixth People’ Hospital, No. 600 Yishan Road, Xuhui District, Shanghai200233, China
| | - Meng Lv
- Genoxor Medical Science and Technology Inc., Shanghai201100, China
| | - Kaichao Yang
- Department of Emergency Medicine, Shanghai Jiaotong University Affiliated Sixth People’ Hospital, No. 600 Yishan Road, Xuhui District, Shanghai200233, China
| | - Gang Zhao
- Department of Emergency Medicine, Shanghai Jiaotong University Affiliated Sixth People’ Hospital, No. 600 Yishan Road, Xuhui District, Shanghai200233, China
| | - Yimu Fu
- Department of Emergency Medicine, Shanghai Jiaotong University Affiliated Sixth People’ Hospital, No. 600 Yishan Road, Xuhui District, Shanghai200233, China
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Ghosh R, León-Ruiz M, Sardar SS, Lalsing D P, Benito-León J. Downbeat Nystagmus as a Presenting Manifestation of Neurolisteriosis in a Pregnant Woman. Neuroophthalmology 2023; 47:218-224. [PMID: 37434673 PMCID: PMC10332207 DOI: 10.1080/01658107.2023.2186431] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/14/2023] Open
Abstract
Listeria monocytogenes has tropism towards two immunologically "privileged" sites, the fetoplacental unit in pregnant women and the central nervous system (neurolisteriosis) in immunocompromised individuals. We report a case of neurolisteriosis in a previously asymptomatic pregnant woman from rural West Bengal, India, who presented with a subacute onset febrile illness with features of rhombencephalitis and a predominantly midline-cerebellopathy (slow and dysmetric saccades, florid downbeat nystagmus, horizontal nystagmus, and ataxia). With timely detection and the institution of prolonged intravenous antibiotic therapy, both the mother and the fetus were saved uneventfully.
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Affiliation(s)
- Ritwik Ghosh
- Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, India
| | - Moisés León-Ruiz
- Section of Clinical Neurophysiology, Department of Neurology, University Hospital “La Paz”, Madrid, Spain
| | - Sona Singh Sardar
- Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, India
| | - Padavi Lalsing D
- Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, India
| | - Julián Benito-León
- Department of Neurology, University Hospital “12 de Octubre”, Madrid, Spain
- Centro de Investigación Biomédica en Red Sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain
- Department of Medicine, Complutense University, Madrid, Spain
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Imaging of Uncommon Bacterial, Rickettsia, Spirochete, and Fungal Infections. Neuroimaging Clin N Am 2023; 33:83-103. [DOI: 10.1016/j.nic.2022.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Li J, Zhang Y, Zhang Q, Lu S, Huang F, Wang J. Application of metagenomic next-generation sequencing for the diagnosis of intracranial infection of Listeria monocytogenes. ANNALS OF TRANSLATIONAL MEDICINE 2022; 10:672. [PMID: 35845529 PMCID: PMC9279819 DOI: 10.21037/atm-22-2186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 05/31/2022] [Indexed: 11/24/2022]
Abstract
Background Intracranial infection of Listeria monocytogenes (LM) can lead to various manifestations, including meningitis, meningoencephalitis, brainstem encephalitis, and brain abscess, which often have a poor prognosis. Metagenomic next-generation sequencing (mNGS) is a promising new tool for the diagnosis of intracranial infection of LM. We describe the typical clinical manifestations of LM intracranial infection and highlight its rarity and severity to help physicians better understand the disease characteristics. Methods Six cases of severe LM intracranial infection were diagnosed by mNGS. We conducted a retrospective analysis of the data on disease progression, diagnostic tools, treatments, and outcomes, and summarized the findings. We compared the differences in diagnostic accuracy and timeliness between mNGS and etiological cultures. Results Among the 6 patients, 5 were males and 1 was female (age range 32–83). Three patients had a history of immunosuppressive therapy. Common symptoms included fever (100%) and a stiff neck (100%). Coma occurred early in severe patients (66%). Two healthy young patients had previously developed with meningitis, while coma occurred in 3 immunosuppressed patients and 1 elderly patient. Three immunosuppressed patients presented with brain abscess, brainstem encephalitis, and meningitis. 1 elderly patient presented with meningitis. Two patients developed septic shock complications early. Laboratory data showed normal or slightly increased leukocytes, neutrophils, and procalcitonin, and cerebrospinal fluid (CSF) tests were consistent with bacterial CSF infection. All 6 patients were examined for blood culture and CSF culture. The positive rate of blood culture and CSF culture was 50% and 16%. The average time from admission to positive culture findings was 91 h. All 6 patients were examined for CSF mNGS. Two were also examined for whole-blood mNGS. The positive rate for CSF mNGS and whole-blood mNGS results was 100%. The mean time from admission to positive mNGS report was 47 h. After diagnosis and treatment with sensitive antibiotics, 1 patient with brain abscess developed neurological sequelae, while the other 5 patients completely recovered. Conclusions mNGS can improve accuracy in the diagnosis of LM intracranial infection and reduce the delay in diagnosis. Intracranial infection of Listeria monocytogenes responds well to the timely use of appropriate antibiotics.
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Affiliation(s)
- Jing Li
- Department of Intensive Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - You Zhang
- Department of Cardiology, The Second Affiliated Hospital of Soochow University, Suzhou, China
| | - Quanquan Zhang
- Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Shiqi Lu
- Department of Intensive Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Fang Huang
- Department of Intensive Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Jun Wang
- Department of Intensive Care Medicine, The First Affiliated Hospital of Soochow University, Suzhou, China
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Freddi TDAL, Ottaiano AC, Lucio LL, Corrêa DG, Hygino da Cruz LC. The Trigemius Nerve: Anatomy and Pathology. Semin Ultrasound CT MR 2022; 43:403-413. [DOI: 10.1053/j.sult.2022.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Ashraf VV, Salam KA, Arunkumar D, Shajudeen K. Takotsubo Cardiomyopathy as a Presenting Manifestation of Listeria Rhombencephalitis. Ann Indian Acad Neurol 2021; 24:607-609. [PMID: 34728967 PMCID: PMC8513965 DOI: 10.4103/aian.aian_800_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 08/08/2020] [Accepted: 08/21/2020] [Indexed: 12/02/2022] Open
Affiliation(s)
| | - K Abdul Salam
- Department of Neurology, Meitra Hospital, Calicut, Kerala, India
| | - D Arunkumar
- Department of Critical Care, Meitra Hospital, Calicut, Kerala, India
| | - K Shajudeen
- Cardiology, Meitra Hospital, Calicut, Kerala, India
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Hue CD, Bullrich MB, Lam Shin Cheung VC, Sharma AK, Syed AS, Pandey SK, Morrow SA, Debicki DB. Pearls & Oy-sters: Trigeminal Nerve Dysfunction as the Key Diagnostic Clue to Listeria Rhombencephalitis. Neurology 2021; 97:e1457-e1460. [PMID: 34039730 DOI: 10.1212/wnl.0000000000012273] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Christopher Donald Hue
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada.
| | - Maria Bres Bullrich
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Victor Christopher Lam Shin Cheung
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Amit Kumar Sharma
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Asma Saba Syed
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Sachin Kishore Pandey
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Sarah Anne Morrow
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
| | - Derek Brian Debicki
- From the Department of Clinical Neurological Sciences (C.D.H., M.B.B., A.K.S., S.A.M., D.B.D.), Department of Medical Imaging (V.C.L.S.C., S.K.P.), and Division of Infectious Diseases, Department of Medicine (A.S.S.), Schulich School of Medicine and Dentistry, Western University; and Lawson Health Research Institute (S.A.M.), London Health Sciences Centre, Canada
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Zhang J, Huang S, Xu L, Tao M, Zhao Y, Liang Z. Brain abscess due to listeria monocytogenes: A case report and literature review. Medicine (Baltimore) 2021; 100:e26839. [PMID: 34397853 PMCID: PMC8341277 DOI: 10.1097/md.0000000000026839] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 07/19/2021] [Indexed: 12/25/2022] Open
Abstract
RATIONALE Listeria monocytogenes infective encephalitis is a rare phenomenon, which is more common in people with changed eating habits and immunodeficiency. To the best of our knowledge, listeria brain abscess is even more rare. In this case report, we summarized the clinical characteristics of listeria brain abscess, in order to explore the diagnosis and treatment of Listeria brain abscess, and raise awareness and attention to the disease. PATIENT CONCERNS A 64-years-old female patient presented to our institution with 4 days of right arm and leg weakness, the salient past history of the patient was nephrotic syndrome, membranous nephropathy diagnosed 6 months prior, for which she was prescribed glucocorticoids and cyclophosphamide. DIAGNOSIS Listeria monocytogenes was cultured in the blood of the patient. Comprehensive medical history and imaging features, she was diagnosed as listeria brain abscess. INTERVENTIONS The patient underwent ampicillin combined with meropenem but not surgery. OUTCOMES The patient recovered without complications. At a 3-month follow-up visit, the condition was better than that before treatment. LESSONS Listeria brain abscess is an unusual form of listeriosis, its clinical manifestations lack specificity. Early accurate diagnosis and standardized treatment can effectively promote the recovery of neurological function as well as reduce the morbidity and mortality and improve the prognosis.
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Affiliation(s)
- Junliang Zhang
- Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University
| | | | - Luyao Xu
- Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University
| | - Manli Tao
- Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University
| | - Yujun Zhao
- Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University
| | - Zhigang Liang
- Department of Neurology, Yantai Yuhuangding Hostipal Affiliated to Qingdao University
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Vogrig A, Janes F, Gigli GL, Curcio F, Negro ID, D'Agostini S, Fabris M, Valente M. Acute disseminated encephalomyelitis after SARS-CoV-2 vaccination. Clin Neurol Neurosurg 2021; 208:106839. [PMID: 34325334 PMCID: PMC8294707 DOI: 10.1016/j.clineuro.2021.106839] [Citation(s) in RCA: 61] [Impact Index Per Article: 20.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 07/08/2021] [Accepted: 07/19/2021] [Indexed: 12/20/2022]
Abstract
Several central and peripheral nervous system complications associated with the severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection have been recently described. An effective mass vaccination program is necessary to effectively reduce infection spread and, consequently, limit long-term sequelae, including those affecting the nervous system. Nevertheless, as more patients gain access to coronavirus disease 2019 (COVID-19) vaccines, it is important to report potential adverse events. Herein, we report a patient with previous history of post-infectious rhombencephalitis who developed an acute disseminated encephalomyelitis (ADEM) two weeks after being vaccinated for COVID-19.
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Affiliation(s)
- Alberto Vogrig
- Clinical Neurology, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy.
| | - Francesco Janes
- Clinical Neurology, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy
| | - Gian Luigi Gigli
- Clinical Neurology, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy; Neurology Unit, Department of Medicine, University of Udine, Udine, Italy
| | - Francesco Curcio
- Clinical Pathology, Department of Laboratory Medicine, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy
| | - Ilaria Del Negro
- Neurology Unit, Department of Medicine, University of Udine, Udine, Italy
| | - Serena D'Agostini
- Neuroradiology, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy
| | - Martina Fabris
- Clinical Pathology, Department of Laboratory Medicine, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy
| | - Mariarosaria Valente
- Clinical Neurology, Azienda Ospedaliero Universitaria Friuli Centrale, Udine, Italy; Neurology Unit, Department of Medicine, University of Udine, Udine, Italy
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Ashraf VV, Salam KA. Listeria Rhombencephalitis. J Neurosci Rural Pract 2021; 12:443-444. [PMID: 33986585 PMCID: PMC8110434 DOI: 10.1055/s-0041-1726648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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12
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Sarma A, Heck JM, Bhatia A, Krishnasarma RS, Pruthi S. Magnetic resonance imaging of the brainstem in children, part 2: acquired pathology of the pediatric brainstem. Pediatr Radiol 2021; 51:189-204. [PMID: 33464360 DOI: 10.1007/s00247-020-04954-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 09/10/2020] [Accepted: 12/20/2020] [Indexed: 10/22/2022]
Abstract
Part 1 of this series of two articles describes conventional and advanced MRI techniques that are useful for evaluating brainstem pathologies. In addition, it provides a review of the embryology, normal progression of myelination, and clinically and radiologically salient imaging anatomy of the normal brainstem. Finally, it discusses congenital diseases of the brainstem with a focus on distinctive imaging features that allow for differentiating pathologies. Part 2 of this series of two articles includes discussion of neoplasms; infections; and vascular, demyelinating, toxic, metabolic and miscellaneous disease processes affecting the brainstem. The ultimate goal of this pair of articles is to empower the radiologist to add clinical value in the care of pediatric patients with brainstem pathologies.
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Affiliation(s)
- Asha Sarma
- Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232, USA
| | - Josh M Heck
- Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232, USA
| | - Aashim Bhatia
- Department of Radiology, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA
| | - Rekha S Krishnasarma
- Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232, USA
| | - Sumit Pruthi
- Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232, USA.
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Cao L, Lin Y, Jiang H, Wei J. Severe invasive Listeria monocytogenes rhombencephalitis mimicking facial neuritis in a healthy middle-aged man: a case report and literature review. J Int Med Res 2021; 49:300060520982653. [PMID: 33435771 PMCID: PMC7809310 DOI: 10.1177/0300060520982653] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
Neurolisteriosis is a foodborne infection of the central nervous system that is easily misdiagnosed, especially in healthy adults with atypical symptoms. A 50-year-old man presented with a 3-day history of distortion of the oral commissure. Facial neuritis was diagnosed and treated with intravenous dexamethasone. His condition deteriorated rapidly, and he presented with a slow pharyngeal reflex, stiff neck, and signs of peripheral facial paralysis. Brain magnetic resonance imaging revealed multiple ring-enhanced foci in the brainstem. Routine and biochemical cerebrospinal fluid (CSF) analyses showed increased white blood cells and microproteins. Blood culture and high-throughput genome sequencing revealed Listeria monocytogenes DNA in the CSF. Ampicillin, amikacin, and meropenem were administered, and the patient was transferred from the intensive care unit to a standard medical ward after 2 months. The patient could walk and eat normally; however, he required intermittent mechanical ventilation at 11 months after discharge. Although L. monocytogenes meningitis is rare in healthy immunocompetent adults, it must be considered as a differential diagnosis, especially in adults whose conditions do not improve with cephalosporin antibiotic administration. L. monocytogenes rhombencephalitis mimics facial neuritis and develops quickly. Prompt diagnosis is essential for rapid initiation of antibiotic therapy to achieve the best outcome.
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Affiliation(s)
- Liming Cao
- Department of Neurology, The Third Affiliated Hospital of Shenzhen University, Shenzhen, China.,Department of Neurology, Shenzhen University First Affiliated Hospital, Shenzhen, China
| | - Yanwei Lin
- Department of Neurology, The Third Affiliated Hospital of Shenzhen University, Shenzhen, China
| | - Hongliang Jiang
- Department of Neurology, The Third People's Hospital of Yiyang City, Yiyang, China
| | - Jiehong Wei
- Department of Laboratory Medicine, The Third Affiliated Hospital of Shenzhen University, Shenzhen, China
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Hemorragic presentation of Listeria Monocytogenes rhombencephalic abscess. JOURNAL OF POPULATION THERAPEUTICS AND CLINICAL PHARMACOLOGY 2020; 27:e28-e34. [DOI: 10.15586/jptcp.v27i3.704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 06/08/2020] [Indexed: 11/18/2022]
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