Listeria monocytogenes meningitis preceded by acute cholangitis

Listeria monocytogenes is a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case of L. monocytogenes meningitis preceded by cholangitis. Th...

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Bibliographic Details
Published in:BMJ case reports 2017-03, Vol.2017, p.bcr2017219251
Main Authors: Luthe, Sarah Kyuragi, Sato, Ryota, Maeda, Tetsuro, Takahashi, Kuniko
Format: Article
Language:English
Subjects:
80 years
Acute Disease
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Antibiotics
Blood pressure
Cholangitis
Cholangitis - etiology
Diabetes
Endoscopy
Female
Gallbladder diseases
Humans
Immunocompromised Host
Infections
Japan
Listeria
Listeria monocytogenes - isolation & purification
Meningitis
Meningitis, Listeria - diagnosis
Meningitis, Listeria - drug therapy
Meningitis, Listeria - microbiology
Other Asian
Patients
Rare Disease
Sepsis
Treatment Outcome
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Summary:Listeria monocytogenes is a well-known cause of meningitis in immunocompromised patients. This organism has a growing significance for community-acquired meningitis, which should have ampicillin added to the usual regimen. We describe a case of L. monocytogenes meningitis preceded by cholangitis. This case suggests gastrointestinal symptoms preceding meningitis may be a clue of listeriosis. It is important for physicians to consider L. monocytogenes as a cause of bacterial meningitis in patients with altered mental status preceded by gastrointestinal symptoms, especially in the immunocompromised population.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-219251