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Revista de Enfermedades Infecciosas en Pediatría

Órgano Oficial de la Asociación Mexicana de Infectología Pediátrica y la SLIPE.
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2011, Number 95

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Rev Enfer Infec Pediatr 2011; 24.25 (95)

Bacterial Meningitis by Listeria monocytogenes: case report and literature review

Otero MFJ, Monroy CVA, Carranco DJA, Mackinney NF, Estudillo JGE, González SN
Full text How to cite this article

Language: Spanish
References: 7
Page: 118-120
PDF size: 413.21 Kb.


Key words:

Listeria monocytogenes, meningitis, immunocompromise, children, case report.

ABSTRACT

Listeria monocytogenes is a rare cause of disease in general population. It can present as invasive disease in newborns, pregnant, the elderly, and patients with any kind of cellular immunodeficiency in the form of bacteremia or meningoencephalitis. The diagnosis of L. monocytogenes meningitis is difficult, reporting negative up to 50% of the Gram stain samples. For treatment of this condition, it´s considered as first choice the use of ampicillin, with addition of an aminoglycoside as gentamicin or amikacin for 14 days. The present case, about a one year old boy with B cells precursor´s acute lymphoblastic leukemia and L. monocytogenes meningitis, addresses the importance of considering Listeria monocytogenes as an etiologic agent of meningitis in haemato-oncologic patients and those with any kind of immunosupression for early detection and treatment.


REFERENCES

  1. Long, S. Principles and practice of pediatric infectious diseases. 3rd ed. Churchill Livingston. 2008 pp 761-5.

  2. Peer, MA. Listeria monocytogenes meningoencephalitis in an immunocompetent, previously healthy 20-month old female child. Indian J Med Microbiol. 2010;28(2):169-71.

  3. Yildiz O, Aygen B. Sepsis and meningitis due to Listeria monocytogenes. Yonsei Med J 2007;48(3):433-39.

  4. Gelfand M. Treatment, prognosis, and prevention of Listeria monocytogenes infection. En: UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2009.

  5. Schupper M, Loessner MJ. The opportunistic pathogen Listeria monocytogenes: pathogenicity and interaction with the mucosal immune system. Int J Inflam. 2010::704321.

  6. Siegman-Igra Y, Levin R, Weinberger M, et al. Listeria monocytogenes infection in Israel and review of cases worldwide. Emerg Infec Dis. 2002:8(3):305-10.

  7. Guevara RE, Mascola L, Sorvillo F. Risk factors for mortality among patients with nonperinatal listeriosis in Los Angeles county: 1992-2004. Clin Infect Dis. 2009;48(11):1507-15.




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Rev Enfer Infec Pediatr. 2011;24.25