Neurolisteriosis mimicking herpes simplex encephalitis in an immunocompromized patient.
Brain MRI was performed in an immunocompromized febrile and lethargic patient, revealing an asymmetric bilateral temporal lobe involvement, strongly suggestive of herpetic encephalitis. Nevertheless, PCR in CSF for Listeria monocytogens was positive. This case implies that Listeria might be considered in patients with clinical and imaging suspicion of herpetic encephalitis.
Protopsaltis
John
J
Second Department of Internal Medicine, Tzanio General Hospital, Piraeus, Greece.
Kokkoris
Stelios
S
Brestas
Paris S
PS
Chrysos
George
G
Salvanos
Leonardos
L
Samara
Christiana
C
Giannoulis
Gregory
G
D000368:Aged; D001921:Brain / Q000000981:diagnostic imaging; D002555:Cerebrospinal Fluid / Q000382:microbiology; D004269:DNA, Bacterial / Q000032:analysis / Q000235:genetics; D003937:Diagnosis, Differential; D020803:Encephalitis, Herpes Simplex / Q000175:diagnosis*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008089:Listeria monocytogenes / Q000235:genetics; D008279:Magnetic Resonance Imaging; D008584:Meningitis, Listeria / Q000175:diagnosis*; D016133:Polymerase Chain Reaction; D011859:Radiography
D004269:DNA, Bacterial