Listeria rhombencephalitis mimicking tuberculous meningitis.
A previously healthy man developed a progressive neurologic illness characterized by an "aseptic meningitis syndrome," progressive hypoglycorrhachia, and severe brain-stem dysfunction. Initial dramatic response to antituberculosis therapy supported the diagnosis of tuberculous basilar meningitis; however, Listeria monocytogenes eventually grew in a blood culture, and the patient recovered following intravenous ampicillin therapy. The entity of listerial rhombencephalitis should be considered as a treatable cause of acute, progressive brain-stem meningoencephalitis.
D000208:Acute Disease; D003937:Diagnosis, Differential; D006801:Humans; D008089:Listeria monocytogenes / Q000302:isolation & purification; D008088:Listeriosis / Q000175:diagnosis*; D008297:Male; D008590:Meningoencephalitis / Q000175:diagnosis*; D008875:Middle Aged; D012249:Rhombencephalon; D014390:Tuberculosis, Meningeal / Q000175:diagnosis*