title: [Neuromeningeal listeriosis in adults, excluding pregnancy. Prognosis and development of neurologic manifestations. Retrospective study of 63 cases].
abstract: Patients' constitutional background, treatment and neurological manifestations were analyzed in a retrospective study of 63 cases of neuromeningeal listeriosis in adults. Age over 60 and coma at the onset were of poor prognosis, but immunodepression (present in only 38% of the cases) did not seem to affect the outcome. The ampicillin-aminoglycoside combination did not appear to improve the vital and functional prognoses more than ampicillin alone. The neurological manifestations observed at the end of hospitalization in 16 of the 42 patients who were cured were not necessarily permanent: among the 13 patients who could be followed up for a mean period of 6.5 years, 5 recovered completely, 5 recovered partially and 3 remained unchanged at neurological examination.
mesh_terms: D000328:Adult; D000368:Aged; D000667:Ampicillin / Q000008:administration & dosage; D003128:Coma / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007108:Immune Tolerance; D008297:Male; D008584:Meningitis, Listeria / Q000150:complications* / Q000188:drug therapy; D008590:Meningoencephalitis / Q000209:etiology; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies
chemical_list: D000667:Ampicillin
vernacular_title: Listériose neuro-méningée de l'adulte, en dehors de la grossesse. Pronostic et évolution des manifestations neurologiques. Etude rétrospective de 63 observations.