Cargando…
Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria bra...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001453/ https://www.ncbi.nlm.nih.gov/pubmed/32055130 http://dx.doi.org/10.4103/aian.AIAN_233_18 |
_version_ | 1783494248439480320 |
---|---|
author | Flores-Perez, Romulo Omar Villarreal-Villarreal, Cesar Daniel Garza, Jesus Alberto Cardenas-de La Galarza-Delgado, Dionicio Angel |
author_facet | Flores-Perez, Romulo Omar Villarreal-Villarreal, Cesar Daniel Garza, Jesus Alberto Cardenas-de La Galarza-Delgado, Dionicio Angel |
author_sort | Flores-Perez, Romulo Omar |
collection | PubMed |
description | Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria brain abscesses is high but can be reduced when appropriate treatment is timely started. Immunosuppressed patients are more often affected, and a high suspicion is needed for prompt identification. Treatment should be individualized taking into account the comorbidities, lesion size and location, bacterial resistance, and clinical and radiological response. We present a case of a supratentorial Lm brain abscess in a patient with liver cirrhosis whose family denied surgical management, and despite the large size, clinical and radiological success was achieved with 4 weeks of ampicillin. |
format | Online Article Text |
id | pubmed-7001453 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-70014532020-02-13 Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis Flores-Perez, Romulo Omar Villarreal-Villarreal, Cesar Daniel Garza, Jesus Alberto Cardenas-de La Galarza-Delgado, Dionicio Angel Ann Indian Acad Neurol Case Reports Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria brain abscesses is high but can be reduced when appropriate treatment is timely started. Immunosuppressed patients are more often affected, and a high suspicion is needed for prompt identification. Treatment should be individualized taking into account the comorbidities, lesion size and location, bacterial resistance, and clinical and radiological response. We present a case of a supratentorial Lm brain abscess in a patient with liver cirrhosis whose family denied surgical management, and despite the large size, clinical and radiological success was achieved with 4 weeks of ampicillin. Medknow Publications & Media Pvt Ltd 2020 /pmc/articles/PMC7001453/ /pubmed/32055130 http://dx.doi.org/10.4103/aian.AIAN_233_18 Text en Copyright: © 2006-2020 Annals of Indian Academy of Neurology http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Reports Flores-Perez, Romulo Omar Villarreal-Villarreal, Cesar Daniel Garza, Jesus Alberto Cardenas-de La Galarza-Delgado, Dionicio Angel Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title | Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title_full | Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title_fullStr | Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title_full_unstemmed | Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title_short | Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis |
title_sort | supratentorial listeria monocytogenes brain abscess in a patient with liver cirrhosis |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7001453/ https://www.ncbi.nlm.nih.gov/pubmed/32055130 http://dx.doi.org/10.4103/aian.AIAN_233_18 |
work_keys_str_mv | AT floresperezromuloomar supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis AT villarrealvillarrealcesardaniel supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis AT garzajesusalbertocardenasdela supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis AT galarzadelgadodionicioangel supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis |