[Wallenberg syndrome as a sign of rhombencephalitis-meningitis due to Listeria monocytogenes].
We report a case of rhombencephalitis with meningitis in a 36-years-old previously healthy man; neurological signs and symptoms were initially consistent with a diagnosis of Wallenberg syndrome. Analysis of cerebrospinal fluid showed predominantly lymphocytic pleocytosis and elevated protein levels. A CT brain scan was normal. MRI of the brain showed a hypertensive type lesion in T2, in the right pontomedullary region that suggested inflammation. A blood culture grew Listeria monocytogenes. The patient improved and fully recovered with appropriate antibiotic treatment. Listeria monocytogenes is a recognized cause of acute brainstem meningoencephalitis. Differential diagnoses that must be considered are other forms of purulent meningitis, viral meningoencephalitis, granulomatosis infections of the central nervous system and, occasionally, stroke.
Caminero Rodríguez
A B
AB
Servicio de Neurología, Hospital Nuestra Señora de Sonsoles, Avila.
Serrano Herranz
R
R
Sánchez Ramírez
F
F
Benito Gómez
J
J
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D014854:Lateral Medullary Syndrome / Q000175:diagnosis* / Q000209:etiology*; D008089:Listeria monocytogenes / Q000302:isolation & purification*; D008279:Magnetic Resonance Imaging; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000382:microbiology*; D012249:Rhombencephalon / Q000382:microbiology*; D014057:Tomography, X-Ray Computed
Síndrome de Wallenberg como manifestación de meningorrombencefalitis por Listeria monocytogenes.