Treatment difficulties of a listerial rhombencephalitis in an adult patient allergic to penicillins.
Rhombencephalitis is not a rare presentation of listerial central nervous system infections in healthy adults. This report describes a case with several management difficulties linked to antibiotic related adverse events, pointing to alternative solutions to aminopenicillins. In addition, the role of dexamethasone in the management of inflammation and neurological symptoms is discussed.
Popescu
G A
GA
Infectious Diseases Department, Regional Hospital Orléans, France and "Matei Bals" Infectious Diseases Institute, Bucharest, Romania. gabrielp9@yahoo.com
Saquepée
M
M
Poisson
D
D
Prazuck
T
T
D000328:Adult; D000658:Amoxicillin / Q000009:adverse effects*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003907:Dexamethasone / Q000627:therapeutic use; D004342:Drug Hypersensitivity / Q000209:etiology*; D004359:Drug Therapy, Combination; D004660:Encephalitis / Q000188:drug therapy*; D006801:Humans; D008088:Listeriosis / Q000188:drug therapy*; D008297:Male; D012249:Rhombencephalon / Q000382:microbiology
D000900:Anti-Bacterial Agents; D003907:Dexamethasone; D000658:Amoxicillin