title: [Cerebral listeria abscess in a patient with gastric cancer].
abstract: HISTORY AND PRESENTATION ON ADMISSION: A 70-year-old woman with a history of gastric cancer and palliative chemotherapy was admitted with disturbed consciousness.
  
  
  METHODS
  The cranial CT showed a tumor in the left parietocccipital region so that a cerebral metastasis was suspected. However further investigations including cranial MRT, liquor and blood culture collection showed that the immunocompromised patient suffered from a Listeria monocytogenes sepsis with subsequent meningitis and a cerebral abscess.
  
  
  METHODS
  During an antibiotic treatment with ampicillin and gentamycin a rapid neurological improvement and normalization of the liquor findings was achieved.
  
  
  CONCLUSIONS
  Listeria monocytogenes is a rare but relevant cause of systemic inflammations in immunocompromised patients. The differentiation between cerebral abscess and metastasis in cancer patients can be complex but is important concerning differential therapeutic approaches.
authors.affiliation: Abteilung Neurologie, Katholische Kliniken Oldenburger Münsterland, St.-Josefs-Stift Cloppenburg, Cloppenburg.
authors.forename: S
authors.initials: S
authors.lastname: Stöve
authors.forename: A
authors.initials: A
authors.lastname: Feldmann
authors.forename: J
authors.initials: J
authors.lastname: Bäsecke
mesh_terms: D000368:Aged; D000970:Antineoplastic Agents / Q000009:adverse effects* / Q000627:therapeutic use*; D001921:Brain / Q000473:pathology; D001922:Brain Abscess / Q000175:diagnosis*; D001932:Brain Neoplasms / Q000175:diagnosis / Q000556:secondary; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008584:Meningitis, Listeria / Q000175:diagnosis*; D009894:Opportunistic Infections / Q000175:diagnosis*; D010166:Palliative Care; D018805:Sepsis / Q000175:diagnosis*; D013274:Stomach Neoplasms / Q000188:drug therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000970:Antineoplastic Agents