2023, Number 5
Meningoencephalitis due to Listeria monocytogenes in a female immunocompromised patient
Martínez CH, Brito MA, Morfín HL, Rodhe BHEE, Tapia LYE, Cruz SB
Language: Spanish
References: 6
Page: 831-834
PDF size: 298.98 Kb.
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