open access

Vol 51, No 2 (2017)
Case reports
Submitted: 2016-07-16
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An unusual presentation of Listeria monocytogenes rhombencephalitis

Albert Acewicz, Grzegorz Witkowski, Rafal Rola, Danuta Ryglewicz, Halina Sienkiewicz-Jarosz
DOI: 10.1016/j.pjnns.2016.12.004
·
Neurol Neurochir Pol 2017;51(2):180-183.

open access

Vol 51, No 2 (2017)
Case reports
Submitted: 2016-07-16

Abstract

We describe a case of 52-year-old woman with a medical history of Crohn's disease presented abrupt fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem. The patient was initially diagnosed with ischaemic stroke, because of acute clinical course and results of neuroimaging. Cerebrospinal fluid analysis revealed mild infection with negative Gram staining and culture. Final diagnosis of Listeria monocytogenes brainstem infection (rhombencephalitis) was set up on the basis of further clinical course and positive blood cultures. Listerial rhombencephalitis should be kept in mind in immunocompromised adult patients who develop fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem even without typical neuroimaging, cerebrospinal fluid findings and negative cultures. Early diagnosis and adequate antibiotic treatment is of crucial importance.

Abstract

We describe a case of 52-year-old woman with a medical history of Crohn's disease presented abrupt fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem. The patient was initially diagnosed with ischaemic stroke, because of acute clinical course and results of neuroimaging. Cerebrospinal fluid analysis revealed mild infection with negative Gram staining and culture. Final diagnosis of Listeria monocytogenes brainstem infection (rhombencephalitis) was set up on the basis of further clinical course and positive blood cultures. Listerial rhombencephalitis should be kept in mind in immunocompromised adult patients who develop fever, asymmetrical multiple cranial nerve palsies and focal neurological symptoms localized to the brainstem even without typical neuroimaging, cerebrospinal fluid findings and negative cultures. Early diagnosis and adequate antibiotic treatment is of crucial importance.

Get Citation

Keywords

Listeria monocytogenes, Rhombencephalitis, Stroke mimics, Brain infection

About this article
Title

An unusual presentation of Listeria monocytogenes rhombencephalitis

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 51, No 2 (2017)

Pages

180-183

DOI

10.1016/j.pjnns.2016.12.004

Bibliographic record

Neurol Neurochir Pol 2017;51(2):180-183.

Keywords

Listeria monocytogenes
Rhombencephalitis
Stroke mimics
Brain infection

Authors

Albert Acewicz
Grzegorz Witkowski
Rafal Rola
Danuta Ryglewicz
Halina Sienkiewicz-Jarosz

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