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.
|頁（從 - 到）||255-258|
|期刊||Journal of Microbiology, Immunology and Infection|
|出版狀態||已發佈 - 六月 2006|
ASJC Scopus subject areas
- Microbiology (medical)
- Immunology and Allergy
- Immunology and Microbiology(all)