Acute symptomatic hydrocephalus in Listeria monocytogenes meningitis

Chun Chieh Yang, Chao Hung Yeh, Tsung Chia Tsai, Wen Liang Yu

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Abstract

Listeria monocytogenes meningitis appears to have increased in incidence. Although most reported cases of listeriosis involve the central nervous system, brain computed tomography is usually normal. Hydrocephalus is a common complication of tuberculous meningitis, which has a high prevalence in Taiwan. However, patients with L. monocytogenes meningitis rarely develop the complication of symptomatic hydrocephalus. We report a patient with L monocytogenes meningitis who presented with persistent alteration of consciousness after appropriate antimicrobial therapy. Follow-up brain computed tomography revealed acute hydrocephalus. An Ommaya reservoir was implanted, and daily drainage of the cerebrospinal fluid was performed. The patient improved gradually and his mental status recovered completely 4 days later. This case should remind physicians to be aware of the possible occurrence of hydrocephalus in L monocytogenes meningitis and that prompt cerebrospinal fluid drainage may achieve a good outcome.

Original languageEnglish
Pages (from-to)255-258
Number of pages4
JournalJournal of Microbiology, Immunology and Infection
Volume39
Issue number3
Publication statusPublished - Jun 2006

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Keywords

  • Hydrocephalus
  • Listeria monocytogenes
  • Meningitis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Immunology and Allergy
  • Immunology and Microbiology(all)

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