[Rhombencephalitis caused by Listeria monocytogenes].
We report the case of a 57-year-old man with Listeria rhombencephalitis. This had been ascertained by means of Listeria isolation from the cerebrospinal fluid. After an nonspecific prodromial period with nausea and headache, he developed fever, meningism, brain stem dysfunction and an organic psychosis. With early antibiotic therapy (ampicillin/gentamycin), it was possible to bring about a restitio ad integrum. Different brain-imaging methods (computed tomography, MRI, brain SPECT) in the acute and follow-up stages are discussed.
Neurologische Klinik, Städtischen Klinikums Karlsruhe.
H
H
Rickmann
W
W
Obhof
J
J
Rauh
K F
KF
Druschky
D000667:Ampicillin / Q000627:therapeutic use; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004660:Encephalitis / Q000175:diagnosis* / Q000188:drug therapy; D005500:Follow-Up Studies; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D008089:Listeria monocytogenes / Q000187:drug effects; D008088:Listeriosis / Q000175:diagnosis* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis / Q000188:drug therapy; D009460:Neurologic Examination / Q000187:drug effects; D012249:Rhombencephalon / Q000473:pathology; D015899:Tomography, Emission-Computed, Single-Photon; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use
D005839:Gentamicins; D000667:Ampicillin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
Rhombenzephalitis durch Listeria monocytogenes.