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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Wolters Kluwer Medknow Publications
2020-01-01
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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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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 |
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_version_ |
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