Document Detail


A case of Listeria meningoencephalitis complicated by hydrocephalus in an immunocompetent infant.
MedLine Citation:
PMID:  18463893     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a very unusual case of meningoencephalitis due to Listeria monocytogenes in a 7-month-old immunocompetent boy. Cerebrospinal fluid (CSF) culture was initially negative, but was positive on the seventh day. The disease was complicated by seizures and hydrocephalus managed with temporary ventriculostomy. The infant was discharged without obvious neurological sequelae after 30 days and developed without neurological or developmental sequelae at two years of age. Listeria is difficult to isolate and is not susceptible to third-generation cephalosporins commonly used for the empirical treatment of bacterial meningitis.
Authors:
Antonios Platnaris; Athanasios Hatzimichael; Sofia Ktenidou-Kartali; Kosmas Kontoyiannides; Konstantinos Kollios; John Anagnostopoulos; Emmanuel Roilides
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-05-08
Journal Detail:
Title:  European journal of pediatrics     Volume:  168     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-05-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  343-6     Citation Subset:  IM    
Affiliation:
3rd Pediatric Department, Aristotle University, Hippokration Hospital, Konstantinoupoleos 49, 54642, Thessaloniki, Greece.
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MeSH Terms
Descriptor/Qualifier:
Ampicillin / therapeutic use
Anti-Bacterial Agents / therapeutic use
Anticonvulsants / therapeutic use
Ceftriaxone / therapeutic use
Drug Therapy, Combination
Gentamicins / therapeutic use
Humans
Hydrocephalus / complications*,  diagnosis*,  drug therapy
Immunocompetence
Infant
Male
Meningitis, Listeria / complications*,  diagnosis*,  drug therapy
Phenytoin / therapeutic use
Seizures / drug therapy,  etiology
Tomography, X-Ray Computed
Vancomycin / therapeutic use
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Anticonvulsants; 0/Gentamicins; 1404-90-6/Vancomycin; 57-41-0/Phenytoin; 69-53-4/Ampicillin; 73384-59-5/Ceftriaxone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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