A propósito de un caso: rombencefalitis por Listeria monocitogenes

Eguílaz, M. Gómez; Pérez, M.Á. López; Martínez, OA; Carlos, M.S. García de

doi:10.1016/j.nrl.2012.10.009

Cited by 2 publications

(1 citation statement)

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“…In this case the thorough interview was crucial, because cultures remained negative for a long time. Previous cases also describe the frustrations in the diagnostic process, that are caused by both the atypical presentation and the often negative cultures [2, 3, 8–11]. This emphasizes the need of a structural awareness of the diagnosis of listeria rhombencephalitis and the utmost importance of a structured thorough interview in case of a non-specific clinical presentation.…”

Section: Discussionmentioning

confidence: 96%

A case report of iatrogenic deterioration of yet undiagnosed Rhombencephalitis; always be careful with corticoids

Mandigers¹,

Epker²

2018

BMC Clin Pathol

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BackgroundListeria monocytogenes is a bacterium present in some food products. It is rarely the cause of Rhombencephalitis in immunocompetent patients.Case presentationWe report a case of an immunocompetent patient, presenting with progressive perioral numbness and dizziness. Despite treatment with antiplatelet drugs, antiviral medication, antibiotics and corticosteroids for a wide differential diagnosis, the patient deteriorated tremendously. Eventually the patient died of Listeria rhombencephalitis, most likely due to the late diagnosis and concomitant late initiation of antibiotics combined with badly timed and inappropriate corticosteroid prescription.ConclusionEarly adequate antibiotic treatment is essential in Listeria rhombencephalitis and corticosteroid therapy should be avoided when Listeriosis is suspected.

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Section: Discussionmentioning

confidence: 96%