title: A Delayed Cerebral Vasospasm with Infarction Is Secondary to Listeria monocytogenes Meningitis: MRI and MRA Are Diagnostically Useful.
abstract: Among patients with bacterial meningitis, a cerebral vasospasm typically occurs during the acute phase. We experienced a case of delayed cerebral vasospasm with infarction that was secondary to Listeria monocytogenes meningitis. An 82-year-old woman with Listeria monocytogenes meningitis, whose symptoms had been improving after the initiation of antibacterial therapy, fell into a coma on day 15 and developed generalized seizure. Magnetic resonance imaging (MRI) and MR angiography (MRA) indicated a cerebral vasospasm with multiple infarctions. The risk of vascular complications following acute bacterial meningitis requires close follow-up to identify neurological changes and a low threshold for vascular evaluation. In such cases, MRI and MRA have diagnostic utility.
authors.affiliation: Department of General Medicine, Ebina General Hospital, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tadokoro
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Odai
authors.forename: Takenori
authors.initials: T
authors.lastname: Hibino
authors.forename: Kanami
authors.initials: K
authors.lastname: Waki
mesh_terms: D000369:Aged, 80 and over; D000667:Ampicillin / Q000008:administration & dosage*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002544:Cerebral Infarction / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D005260:Female; D005839:Gentamicins / Q000008:administration & dosage*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D016920:Meningitis, Bacterial / Q000150:complications; D008584:Meningitis, Listeria / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D020301:Vasospasm, Intracranial / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents; D005839:Gentamicins; D000667:Ampicillin