[Lymphocytis meningitis: Listeria monocytogenes is a potential risk in a immunocompetent child].
Meningoencephalitis due to Listeria monocytogenes is a rare and serious form of brainstem infection in childhood.


METHODS
We report the case of a 7 year-old girl presenting lymphocytic meningitis with a high CRP level. Parenteral antibiotics combining ceftriaxone and vancomycine led initially to clinical improvement. Ten days later, secondary brainstem inflammation with hydrocephalus appeared and led to the detection of L. monocytogenes during external ventricular bypass.


CONCLUSIONS
This observation of paediatric lymphocytic meningoencephalitis suggests a prescription of amoxicillin in association with first line antibiotics, particularly when an important inflammatory syndrome exists, immunocompetent children included.
Flodrops
H
H
Service de pédiatrie générale, groupe hospitalier Sud-Réunion, BP 350, 97448 Saint-Pierre, La Réunion. h.flodrops@ch-sudreunion.fr
Houdon
L
L
Gérardin
P
P
Mesnage
R
R
Edmar
A
A
Picot
S
S
Leriche
B
B
Comoy
J
J
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001933:Brain Stem / Q000276:immunology / Q000473:pathology*; D002648:Child; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D007121:Immunocompetence; D007249:Inflammation; D008584:Meningitis, Listeria / Q000209:etiology* / Q000276:immunology* / Q000473:pathology; D012307:Risk Factors
D000900:Anti-Bacterial Agents