title: Brain abscess due to Listeria monocytogenes after HELLP syndrome in a patient with antiphospholipid syndrome.
abstract: Objective To illustrate an unusual case of Listeria cerebral abscess. Material and methods A 32-year-old pregnant woman with thrombotic antiphospholipid syndrome (APS) received corticotherapy for two weeks due to hemolysis, elevated liver enzymes, low platelet (HELLP) syndrome. After delivery she presented with neurological symptoms and fever. Results The MRI scan confirmed the presence of a brain abscess, and Listeria monocytogenes was isolated in blood cultures. After eight weeks of antibiotic treatment, the patient presented no sequelae. Conclusion L. monocytogenes should be included in the differential diagnosis of patients with fever and neurological dysfunction, especially in those with a recent history of corticotherapy.
authors.affiliation: 1 Maternal Fetal Medicine Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Fervienza
authors.affiliation: 2 Infectious Diseases Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Bodro
authors.affiliation: 3 Medical Intensive Care Unit, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Castro
authors.affiliation: 1 Maternal Fetal Medicine Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Hernández
authors.affiliation: 1 Maternal Fetal Medicine Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: I
authors.initials: I
authors.lastname: Teixidó
authors.affiliation: 4 Autoimmune Diseases Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: G
authors.initials: G
authors.lastname: Espinosa
authors.affiliation: 4 Autoimmune Diseases Department, Hospital Clinic, Barcelona, Catalonia, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Cervera
mesh_terms: D000328:Adult; D016736:Antiphospholipid Syndrome / Q000150:complications*; D001922:Brain Abscess / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever / Q000175:diagnosis / Q000209:etiology; D017359:HELLP Syndrome / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008089:Listeria monocytogenes / Q000302:isolation & purification*; D008088:Listeriosis / Q000097:blood / Q000382:microbiology; D008279:Magnetic Resonance Imaging; D009422:Nervous System Diseases / Q000175:diagnosis / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000382:microbiology*; D016896:Treatment Outcome
keywords: Antiphospholipid syndrome; Listeria monocytogenes; pregnancy