Two cases of listeria rhombencephalitis

Listeria rhombencephalitis (LRE) is a rare encephalitis of the hindbrain that can present with a variety of neurological symptoms. It is a diagnostic challenge, but prompt antimicrobial therapy is important to prevent high rates of mortality and morbidity. We report two cases of LRE, with several co...

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Bibliographic Details
Published in:	IDCases Vol. 11; no. C; pp. 22 - 25
Main Authors:	Mansbridge, Christopher Thomas, Grecu, Irina, Li Voon Chong, Jimmy SW, Vandervelde, Clive, Saeed, Kordo
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Ltd 01-01-2018 Elsevier
Subjects:	Encephalitis Hindbrain Listeria monocytogenes Meningoencephalitis Rhombencephalitis Listeria monocytogenes Encephalitis Hindbrain Rhombencephalitis Meningoencephalitis
Online Access:	Get full text
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Summary:	Listeria rhombencephalitis (LRE) is a rare encephalitis of the hindbrain that can present with a variety of neurological symptoms. It is a diagnostic challenge, but prompt antimicrobial therapy is important to prevent high rates of mortality and morbidity. We report two cases of LRE, with several contrasting clinical features and different disease courses. Despite being rare, it is important to consider listeria in patients with possible meningoencephalitis, even if cultures are negative. Empirical treatment of meningoencephalitis should provide coverage for listeria, especially if the patient is at risk of listeriosis or there is a potential history of listeria exposure.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	2214-2509 2214-2509
DOI:	10.1016/j.idcr.2017.12.002