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2023, Number 5

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Med Int Mex 2023; 39 (5)

Meningoencephalitis due to Listeria monocytogenes in a female immunocompromised patient

Martínez CH, Brito MA, Morfín HL, Rodhe BHEE, Tapia LYE, Cruz SB
Full text How to cite this article

Language: Spanish
References: 6
Page: 831-834
PDF size: 298.98 Kb.


Key words:

Meningitis, Listeria monocytogenes, Rheumatological disease, Corticosteroids.

ABSTRACT

Background: Meningitis due to Listeria monocytogenes is a severe and potentially mortal disease.
Clinical case: A 62-year-old female patient, who suffered from a rheumatological disease which was treated with corticosteroids and disease-modifying drugs, that induced a chronic immunosuppressive state. The patient was admitted to our hospital due to agitation, headache and fever, for which a study of cerebrospinal fluid was carried out, where fine growth of Listeria monocytogenes sensitive to ampicillin, gentamicin, trimethoprim and imipenem was observed. The patient was treated with a scheme of ampicillin with gentamicin for 21 days, obtaining a satisfactory clinical evolution with negative cerebrospinal fluid cultures. She remained in the internal medicine service for 29 days and was discharged without neurological sequelae with biochemical, microbiological and radiological normalization.
Conclusions: The adoption of preventive measures by health personnel against this infectious agent is suggested since the impact on our environment is unknown.


REFERENCES

  1. Vásquez-Alva R, Biminchumo-Sagastegui C, Villarreal-Hifume CY, Silva-Meza CN. Meningitis por Listeria monocytogenesen paciente adulto mayor. Rev Facultad deMedicina Humana 2020; 20 (3): 507-511.

  2. Rogalla D, Bomar PA. Listeria monocytogenes. In: Stat-Pearls. Treasure Island (FL): StatPearls Publishing; 2021.

  3. Gerstein S, Gautam-Goyal P, Goyal S. A case of Listeriamonocytogenes meningitis complicated by hydrocephalusand intraventricular hemorrhage: A review of treatmentoptions and outcomes. IDCases 2020; 19. doi: 10.1016/j.idcr.2020.e00704.

  4. Morell Úbeda C, Cebrián García I, González Miño C.Meningitis por Listeria monocytogenes en paciente inmunocompetente.Pediatría Atención Primaria 2016; 18(69): e15-e18.

  5. Picard L, Maakaroun-Vermesse Z, Hoarau C, CastelnauP, Périvier M. Pediatric neurolisteriosis: A diagnosis toconsider even in the absence of immunodeficiency.Arch Pediatr 2019; 26 (3): 171-173. doi: 10.1016/j.arcped.2019.02.009.

  6. Patas K, Mavridis T, Psarra K, Papadopoulos VE, et al.Neurolisteriosis in a previously asymptomatic patient withserum IgM deficiency: a case report. BMC Neurol 2020; 20:323. doi: 10.1186/s12883-020-01900-3.




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Med Int Mex. 2023;39