ArticleBMJ case reports2012
Clues to diagnosing culture negative Listeria rhombencephalitis.
Article in BMJ case reports, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Early trigeminal nerve involvement in Listeria monocytogenes rhombencephalitis: case series and systematic review.Journal of neurology · 2017Pooled it
- Treatment failure in a patient infected withWorld journal of clinical cases · 2022Article
- Severe invasiveThe Journal of international medical research · 2021Review
- Neurotropic Lineage III Strains of Listeria monocytogenes Disseminate to the Brain without Reaching High Titer in the Blood.mSphere · 2020Article
- Article
- A case report of iatrogenic deterioration of yet undiagnosed Rhombencephalitis; always be careful with corticoids.BMC clinical pathology · 2018Article
- Two cases of listeria rhombencephalitis.IDCases · 2018Article
- Culture Negative Listeria monocytogenes Meningitis Resulting in Hydrocephalus and Severe Neurological Sequelae in a Previously Healthy Immunocompetent Man with Penicillin Allergy.Case reports in neurological medicine · 2015Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A previously healthy 35-year-old Caucasian woman developed left body (including facial) hemianaesthesia, asymmetrical lower cranial nerve palsies and cerebellar signs after a 4-day history of headache, nausea and vomiting. Serial blood and cerebrospinal fluid (CSF) cultures returned negative for a culprit organism. CSF examination revealed a lymphocytic pleocytosis and an elevated protein count. CSF cytological examination identified plasma cells. MRI of brain showed multiple ring-enhancing 'abscess-like' lesions in the brainstem and upper cervical cord together with abnormal meningeal enhancement. A decision was made to treat her empirically for Listeria rhombencephalitis to which she responded completely. CSF PCR eventually returned positive for Listeria monocytogenes. This case illustrates the utility of clinical features, MRI, CSF cytology and PCR in diagnosis and treatment of culture negative L monocytogenes rhombencephalitis in an immunocompetent individual.
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