title: Rhombencephalitis by Listeria monocytogenes in a cirrhotic patient: a case report and literature review.
abstract: We report a case of rhombencephalitis infection by Listeria monocytogenes in a 66-year-old man with cirrhosis. The CSF analysis indicated L. monocytogenes as the most likely pathogen. Blood and CSF culture were positive to L. monocytogenes and MRI findings were suggestive of rhomboencephalitis. The treatment was started empirically and then modified when the culture results were available. The patient had a full clinical recovery without neurologic sequelae. Clinicians should remember that L. monocytogenes most often presents as acute bacterial meningitis, particularly in the elderly, the immunosuppressed, and those with malignancies. L. monocytogenes CNS the infections may present as acute bacterial meningitis, meningoencephalitis, or acute encephalitis.
authors.affiliation: Intensive Care.
authors.forename: Raúl
authors.initials: R
authors.lastname: Carrillo-Esper
authors.forename: Luis Daniel
authors.initials: LD
authors.lastname: Carrillo-Cordova
authors.forename: Isis
authors.initials: I
authors.lastname: Espinoza de los Monteros-Estrada
authors.forename: Agustín Omar
authors.initials: AO
authors.lastname: Rosales-Gutiérrez
authors.forename: Misael
authors.initials: M
authors.lastname: Uribe
authors.forename: Nahum
authors.initials: N
authors.lastname: Méndez-Sánchez
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002555:Cerebrospinal Fluid / Q000382:microbiology; D003937:Diagnosis, Differential; D004660:Encephalitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008089:Listeria monocytogenes / Q000302:isolation & purification*; D008088:Listeriosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D008297:Male; D011237:Predictive Value of Tests; D012249:Rhombencephalon / Q000382:microbiology*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents