title: [Neuromeningeal Listeria infections in adults. Clinical, biological and therapeutic aspects. Apropos of 36 cases].
abstract: In this retrospective study, 36 cases of Listeria monocytogenes meningitis were reviewed. A bacteriological confirmation was obtained for every patient either by lombar puncture or blood culture. The clinical picture and the composition of the cerebrospinal fluid were polymorphous. Most patients were previously in good health, while 10 of them (28%) had a predisposing factor: pregnancy, gastrectomy, diabetes mellitus, alcoholism or immunosuppression. The outcome was favorable in 23 patients (64%); 8 patients were cured with sequelae (22%); 5 patients died (14%). Death occurred in patients suffering from concomitant underlying disease, such as coronary insufficiency (n = 1) or immunosuppression (n = 2), or in the case of delayed diagnosis and treatment (n = 2).
authors.affiliation: Service des Maladies Infectieuses et Tropicales, Hôpital Claude-Bernard, Paris.
authors.forename: M
authors.initials: M
authors.lastname: Lazanas
authors.forename: C
authors.initials: C
authors.lastname: Perronne
authors.forename: C
authors.initials: C
authors.lastname: Leport
authors.forename: D
authors.initials: D
authors.lastname: Salmon-Ceron
authors.forename: F
authors.initials: F
authors.lastname: Bricaire
authors.forename: J L
authors.initials: JL
authors.lastname: Vilde
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008584:Meningitis, Listeria / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D009422:Nervous System Diseases / Q000188:drug therapy / Q000209:etiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Les listérioses neuroméningées de l'adulte. Aspects cliniques, biologiques et thérapeutiques. A propos de 36 observations.