Publication: Brain abscess due to listeria monocytogenes: First case report in Thailand
Issued Date
2006-10-11
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ISSN
01252208
01252208
01252208
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2-s2.0-33749452698
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.89, No.9 (2006), 1516-1520
Suggested Citation
Pornpit Treebupachatsakul, Somporn Srifeungfung, Methee Chayakulkeeree Brain abscess due to listeria monocytogenes: First case report in Thailand. Journal of the Medical Association of Thailand. Vol.89, No.9 (2006), 1516-1520. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/23537
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Title
Brain abscess due to listeria monocytogenes: First case report in Thailand
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Abstract
Brain abscess with bacteremia caused by Listeria monocytogenes in a young woman with immune thrombocytopenic purpura was reported. The clinical features included fever, headache, and left-side weakness. Computed tomography and magnetic resonance imaging of the brain showed a large single abscess at the right frontoparietal area. L. monocytogenes was isolated from a blood culture. The patient promptly received a surgical drainage. Because she had a history of penicillin allergy, and the organism was resistant to ampicillin, she was treated with trimethoprim-sulfamethoxazole (TMP-SMX) alone for 12 months. During a one-year follow-up period, the patient improved and her neurological deficit gradually recovered. This is the first case of listerial brain abscess in Thailand that was successfully treated with TMP-SMX monotherapy and surgical drainage.