Publication: Listeria monocytogenes brain abscess: Two cases and review of the literature
Issued Date
2013-05-01
Resource Type
ISSN
01251562
Other identifier(s)
2-s2.0-84882656486
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Southeast Asian Journal of Tropical Medicine and Public Health. Vol.44, No.3 (2013), 468-478
Suggested Citation
Samornrod Limmahakhun, Methee Chayakulkeeree Listeria monocytogenes brain abscess: Two cases and review of the literature. Southeast Asian Journal of Tropical Medicine and Public Health. Vol.44, No.3 (2013), 468-478. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32354
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Listeria monocytogenes brain abscess: Two cases and review of the literature
Author(s)
Other Contributor(s)
Abstract
Listeria monocytogenes is a gram-positive bacillus that exhibits predilection to infect the central nervous system in immunocompromised individuals; the most common manifestations are meningitis and rhombencephalitis. Liste- rial brain abscesses are rare. We report here two brain abscess cases caused by L. monocytogenes in patients receiving immunosuppressive agents. The first patient presented with left hemiparesis mimicking stroke and the second patient presented with neurological symptoms without fever, which was indistinguishable from brain tumor. In both cases, magnetic resonance spectroscopy (MRS) was performed to differentiate infectious processes from other causes. Diagnosis was made with a positive blood culture in both cases. Listerial DNA was detected in the pus aspirated from the abscess in the first case. Both patients were successfully treated with intravenous ampicillin followed by oral amoxicillin. MRS was useful in differentiating infectious processes from non-infectious causes.