Listerial brain abscess in long-standing sarcoidosis.
A 50-year-old black man with steroid-dependent stage IV sarcoidosis and a prior seizure attributed to neurosarcoidosis had progressive disorientation, ataxia, cranial neuropathies, and increased dyspnea. Neuroradiologic evaluation showed a ring-enhancing lesion in the left basal ganglion causing a mass effect. Craniotomy yielded purulent material that grew a pure culture of Listeria monocytogenes. He responded well to antibiotic therapy.
Poropatich
R
R
Department of Medicine, Walter Reed Army Medical Center, Washington, DC 20307-5001.
Phillips
Y Y
YY
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D001922:Brain Abscess / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008088:Listeriosis / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications*; D014057:Tomography, X-Ray Computed