Listeria monocytogenesmeningitis preceded by acute cholangitis.
Listeria monocytogenesis a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case ofL. monocytogenesmeningitis preceded by cholangitis. This case suggests gastrointestinal symptoms preceding meningitis may be a clue of listeriosis. It is important for physicians to considerL. monocytogenesas a cause of bacterial meningitis in patients with altered mental status preceded by gastrointestinal symptoms, especially in the immunocompromised population.
Urasoe General Hospital, Urasoe, Japan.
Sarah Kyuragi
SK
Luthe
Department of Emergency and Critical Care, Urasoe General Hospital, Urasoe, Japan.
Ryota
R
Sato
Kobe City Medical Center General Hospital, Kobe, Japan.
Tetsuro
T
Maeda
Urasoe General Hospital, Urasoe, Japan.
Kuniko
K
Takahashi
D000208:Acute Disease; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002761:Cholangitis / Q000209:etiology*; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D008089:Listeria monocytogenes / Q000302:isolation & purification*; D008584:Meningitis, Listeria / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents