Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis

Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria bra...

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Main Authors: Romulo Omar Flores-Perez, Cesar Daniel Villarreal-Villarreal, Jesus Alberto Cardenas-de La Garza, Dionicio Angel Galarza-Delgado
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=1;spage=107;epage=109;aulast=Flores-Perez
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spelling doaj-306797977e814c2b88c9d353ac80282d2020-11-24T22:00:00ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492020-01-0123110710910.4103/aian.AIAN_233_18Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver CirrhosisRomulo Omar Flores-PerezCesar Daniel Villarreal-VillarrealJesus Alberto Cardenas-de La GarzaDionicio Angel Galarza-DelgadoMeningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria brain abscesses is high but can be reduced when appropriate treatment is timely started. Immunosuppressed patients are more often affected, and a high suspicion is needed for prompt identification. Treatment should be individualized taking into account the comorbidities, lesion size and location, bacterial resistance, and clinical and radiological response. We present a case of a supratentorial Lm brain abscess in a patient with liver cirrhosis whose family denied surgical management, and despite the large size, clinical and radiological success was achieved with 4 weeks of ampicillin.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=1;spage=107;epage=109;aulast=Flores-Perezbrain abscesscentral nervous system infectionslisterialisteriosis
collection DOAJ
language English
format Article
sources DOAJ
author Romulo Omar Flores-Perez
Cesar Daniel Villarreal-Villarreal
Jesus Alberto Cardenas-de La Garza
Dionicio Angel Galarza-Delgado
spellingShingle Romulo Omar Flores-Perez
Cesar Daniel Villarreal-Villarreal
Jesus Alberto Cardenas-de La Garza
Dionicio Angel Galarza-Delgado
Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
Annals of Indian Academy of Neurology
brain abscess
central nervous system infections
listeria
listeriosis
author_facet Romulo Omar Flores-Perez
Cesar Daniel Villarreal-Villarreal
Jesus Alberto Cardenas-de La Garza
Dionicio Angel Galarza-Delgado
author_sort Romulo Omar Flores-Perez
title Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
title_short Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
title_full Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
title_fullStr Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
title_full_unstemmed Supratentorial Listeria monocytogenes Brain Abscess in a Patient with Liver Cirrhosis
title_sort supratentorial listeria monocytogenes brain abscess in a patient with liver cirrhosis
publisher Wolters Kluwer Medknow Publications
series Annals of Indian Academy of Neurology
issn 0972-2327
1998-3549
publishDate 2020-01-01
description Meningitis and meningoencephalitis account for the majority of central nervous system infections by Listeria monocytogenes (Lm). Macroscopic listerial brain abscess is a rare infection. Early recognition of Listeria brain abscesses represents a major diagnostic challenge. Mortality from Listeria brain abscesses is high but can be reduced when appropriate treatment is timely started. Immunosuppressed patients are more often affected, and a high suspicion is needed for prompt identification. Treatment should be individualized taking into account the comorbidities, lesion size and location, bacterial resistance, and clinical and radiological response. We present a case of a supratentorial Lm brain abscess in a patient with liver cirrhosis whose family denied surgical management, and despite the large size, clinical and radiological success was achieved with 4 weeks of ampicillin.
topic brain abscess
central nervous system infections
listeria
listeriosis
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2020;volume=23;issue=1;spage=107;epage=109;aulast=Flores-Perez
work_keys_str_mv AT romuloomarfloresperez supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis
AT cesardanielvillarrealvillarreal supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis
AT jesusalbertocardenasdelagarza supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis
AT dionicioangelgalarzadelgado supratentoriallisteriamonocytogenesbrainabscessinapatientwithlivercirrhosis
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